I found an old photo, but it's in a quite bad state... I would like to hear your thoughts on what is the best approach of removing the unwanted artifacts. The only way I know is healing, but this seems to be a big area to apply healing.
Whenever I'm needing to clean up black and white images I like to review the channels. The Red channel in your image looks remarkably clean. You could easily copy the pixels from the Red channel and paste them as a regular layer. You may still want to do a little retouching.
To make this look like your original you could add a little contrast and a subtle sepia colour.
I've offered here a general strategy. If you have any questions about how to achieve specific steps please don't hesitate to ask.
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