Masterpiece, best quality, 16K, hospital, operating room, old woman

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

(nsfw:1.5),paintings, sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, age spot, glans, nsfw, nipples,