I'm always fresh and clean (despite what some weirdo from Vermont thinks).
I always take a shower, use mouthwash after doing all kinds of things, employ gum, and even spray the sheets and room between clients. I don't feel it's sufficient just to clean certain spots - I notice the smell of a client is on my skin all over my body after a session, and I like to get totally fresh. I do put my hair up and shower without washing it though when I dont have time to wash my hair.