Change only the expression to show her cheeks puffed out, looking upward to the right with an angry face.

paintings, sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, age spot, glans, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, age spot, glans,extra fingers,fewer fingers,strange fingers,bad hand (low quality, worst quality:1.4), (bad_prompt:0.8), (monochrome), (greyscale)