masterpiece, best quality, 16K, hospital, operating room, old woman, interior photo, glad, smiling, standing, front view, long hair, ponytail, black hair, eyes open, (large breasts:1.32), (wrinkles corners eyes:1.32), (nasolabial:1.32), (old skin:1.32), freckled skin, wrinkles skin, pale skin, (old muscles:1.2), plump, {(nurse), ((breast pocket)), ((collared dress)), ((short dress:1.48)), ((short sleeves)), ((thighs)), (white dress), (white headwear), (white sandals), ((stethoscope))}, beauty mark, 65-year-old, old, elderly, japanese, inside, in the hospital, with a operating table, in the afternoon, real person, ultra realistic photo, nsfw, full body shot, from front, front view

disfigured, bad art, deformed, poorly drawn, weird colors,lowres, bad anatomy, bad hands, worst quality, low quality, text, error, missing fingers, extra digit, fewer digits, cropped, normal quality, jpeg artifacts, signature, watermark, username, blurry , bad feet ,mutated hands and fingers,part of the head, , extra limbs, close up, floating limbs, disconnected limbs, blur,out of focus, long_neck,long_body, poorly_drawn, Bad lines,bad proportions,not finish, unfinished finger, unfinished hand, lack of detail, bad drawing technique, amateurish, ugly, no shading,mutated head, Multiple head,NSFW , sketches, (worst quality:2), (low quality:2), (normal quality:2), wrong hands, lowres, double nipples, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, glans, wrong feet, long neck