Nsfw, ((highest quality, masterpiece)), highly detailed face and skin texture

nsfw, ((highest quality, masterpiece)), highly detailed face and skin texture, photorealistic, doctor of Japan, chubby, white lab coat, glasses, stethoscope, white skin, double eyelids, dark brown bob hair, huge ass: 1.5, big, small T-back panties, butt sticking out, butt hole up, camel toe, part of the genitals visible, The background is a hospital examination room

(nsfw:1.5),verybadimagenegative_v1.3, ng_deepnegative_v1_75t, (ugly face:0.8),cross-eyed,sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, bad anatomy, DeepNegative, facing away, tilted head, {Multiple people}, lowres, bad anatomy, bad hands, text, error, missing fingers, extra digit, fewer digits, cropped, worstquality, low quality, normal quality, jpegartifacts, signature, watermark, username, blurry, bad feet, cropped, poorly drawn hands, poorly drawn face, mutation, deformed, worst quality, low quality, normal quality, jpeg artifacts, signature, watermark, extra fingers, fewer digits, extra limbs, extra arms,extra legs, malformed limbs, fused fingers, too many fingers, long neck, cross-eyed,mutated hands, polar lowres, bad body, bad proportions, gross proportions, text, error, missing fingers, missing arms, missing legs, extra digit, extra arms, extra leg, extra foot, ((repeating hair))