I agree with the others, crop and warmer. Beautiful child regardless. I think going tighter on the eyes, and maybe a slight color enhancement on the eyes, and you've got a winner.
I think it depends on what the picture is supposed to convey, though. The original shot gives me the impression that he's being carried, and is looking back over the person's shoulder. In a tighter crop, you can give the impression of the child looking up at someone, which gives a whole different context to the photo. I think the biggest attraction to the picture is the eyes, and this kid has got a stare on him that needs to be accentuated. An untrained eye, not that mine is trained, will be almost immediately drawn to the eyes. It'll take a minute for someone to roam the picture and find the hotspot. Given the right color, most people won't even care about that. The hand, actually the arm and hand, aren't a big deal, but they take away from the purity of the stare. You look at the arm, and it's just a baby in the picture. But, if you have only the eyes to look at, it's more than just a baby, it's the emotion from the eyes that carries the picture.
Anyone who looks at a picture like that will get an emotional reaction, and while each one will be different, I bet they all say the same thing; "Beautiful eyes, cute kid".
Hopefully you won't mind my take on it. I think going tighter on the eyes is the way to go, but that's just me. I would expect that if it were for a client, you would have to figure out what they wanted out of the pic. You never know, they might like it perfectly the way it was shot. I'm not a big fan of too much processing, but I ran the pic through Noiseware to soften it without losing detail. Unfortunately that wasn't the case on the hair. But, the attraction to the eyes is enhanced.
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