The chest is skin

(nsfw:1.5),nsfw, paintings, sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, manboobs, (ugly:1.331), american, western, european, (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:1.4),(bad nipples:1.4)(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, glans, (bad anatomy), ((more than two hands))