Actually the blemish on Elizabeth's cheek strikes me as much more important than the hole or the loop. Elizabeth's
portraits are often completely flat and featureless, so the most important feature in one of her coins is the attractiveness of the
portrait, in my opinion.
In this case, where she resembles a squirrel that's just gobbled up a huge bunch of acorns, I'd step back and give a fairly modest offer for the coin.
Bit it IS a decent specimen - far better than most of her
portraits, but with a distracting flaw.
Just my personal opinion...