IR can almost totally eliminate many complexion problems—even acne pockmarks—as long as your subject is evenly frontlit. Infrared film, when exposed through a red filter and printed high-key (in other words, light) on a contrasty black-and-white enlarging paper (as in the portrait, left), will reproduce Caucasian skin tones in creamy, almost ghostly whites. Pimples and other surface imperfections simply disappear.
A black-and-white film that's sensitive to visible light plus the 750–840nm wavelengths of infrared radiation, HIE is easier to learn to use and, at $12 per 36-exposure roll, is a fraction of the cost of Adobe Photoshop. The film is very grainy, especially when overexposed, so meter carefully and don't plan on making wall-spanning enlargements. The lighter and more contrasty you print it, the less objectionable the grain becomes. Unless you have a darkroom, you'll probably need a custom lab for the film processing and printing.
Correctly exposing infrared film isn't your only challenge. Because camera lenses don't focus infrared radiation in the same plane as visible light, for maximum sharpness, first focus normally, then shift focus slightly toward infinity. Many lenses indicate the degree of shift with a tiny index mark on the focusing scale. One last thought: You'll need to use a deep red Wratten #25 filter to block red (i.e., blemish-colored) light from reaching and overexposing the film.
Test infrared film under your shooting conditions to explore its idiosyncrasies. You may need several test shoots, altering the lighting, exposure, and printing.
Infrared film responds differently depending on the light source. Whenever you change lighting, retest.
While the effects are not as dramatic, try Ilford's near-infrared film, SFX 200. It's easier to use and less expensive than HIE.
If the complexion problem is minor, any black-and-white film (or monochrome mode in digital) shot through a red filter may mask the skin condition.
Some 35mm SLRs' film advance systems use film-fogging infrared light beams. Check your camera manual.