As for lip reflection, I usually hook my mouth shape with a pen tool, create a new layer of color and then add or lighten the color (adjust the transparency), or copy a layer of my mouth shape and then adjust the color or gloss of the curve. Generally speaking, I build a new layer with white dots, then adjust the position with the smudge tool, and then adjust the transparency with the rubber tool. Personal methods are different, as long as the effect is achieved.