Ultra-realistic, 4k, 1girl, hot cute face, pretty face, cute eyes

Ultra-realistic, 4k, 1girl, hot cute face, pretty face, cute eyes, chubby body, wearing doctors outfit, scrubs, pants, nervous facial expressions, both hands on ass, inside surgery room, dirty pants, dirty clothes, sweaty clothes, (((make the whole image filthy and dirty))), (((mud on the floor and mud dripping from pants))), stinky atmosphere, filthy atmosphere, mud on pants, disgusting pants, (((extreme amount of mud on crotch))),