Anime girl with big breast posing in a bathroom

((Top Quality, 8K, Masterpiece: 1.3)), Sharp Focus: 1.2, Cute Beauty with Perfect Figure: 1.4, Slim Big: 1.2, ((Black Casual Hairstyle, Big: 1.2, Big: 1.2)), (White Nursing Uniform), (Ecstatic Look, Standing: 1.2, Sexy Pose), (Exposed cleavage), (((Examination Room: 1.3 Created mainly by women)), very detailed face and skin texture, fine eyes, double eyelids,

(nsfw:1.5),(worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, age spot, (outdoor:1.6), man boobs, backlight,(ugly:1.331), (duplicate:1.331), (morbid:1.21), (mutilated:1.21), (tranny:1.331), mutated hands, (poorly drawn hands:1.331), blurry, (bad anatomy:1.21), (bad proportions:1.331), extra limbs, (disfigured:1.331), (more than 2 nipples:1.331), (missing arms:1.331), (extra legs:1.331), (fused fingers:1.61051), (too many fingers:1.61051), (unclear eyes:1.331), bad hands, missing fingers, extra digit, (futa:1.1), bad body, NG_DeepNegative_V1_75T,pubic hair, glans,