There is a woman in a blue dress and a blue hat

A Realistic Portrait, of a tenager girl, patient 14 years old (Alisa Amore), Beautiful, detailed face, detailed eyes, (realistic skin:1.3), (pale skin:1.1), (textured skin:1.3), ((naked)), big smile, (iphone photograph), (perfect small breasts:1.1), operation room, ((masturbating in hospital bed on teal vinyl drapes), naked), (artificial lighting:1.3), looking at the camera, perfect slim body, amateur Photography, Photorealistic, Detailed, analog, poor quality, grainy, surgery, appendectomy, general anesthesia, young surgical nurse in teal surgical scrubs attending teenager patient, short hair completely covered by surgical tissue cap, surgical bouffant cap

Clothes)), (pants), (bikini), ((bra)), (underwear), (dress), (shirt), canvas frame, ((ugly eyes, deformed iris, deformed pupils, deformed lips and teeth:1.1)), un-detailed skin, semi-realistic, CGI, 3d, render, sketch, cartoon, drawing, anime, text, monochromatic, cropped, out of frame body, worst quality, low quality, jpeg artifacts, ugly, duplicate, morbid, mutilated, extra fingers, mutated hands, poorly drawn hands, poorly drawn face, mutation, deformed, blurry, dehydrated, bad anatomy, bad proportions, extra limbs, cloned face, disfigured, gross proportions, malformed limbs, missing arms, missing legs, extra arms, extra legs, fused fingers, too many fingers, long neck, doll, child, un-detailed skin, monochrome, black and white, multiple girls, two girls, three girls, two faces