Best (((HD photo))), best ultra high res, best photorealistic

best (((HD photo))), best ultra high res, best photorealistic, UHD, best masterpiece, best portrait, best pov, 1girl, most pretty, best cute face, most beautiful in the world, soft, most delicate, most detailed eyes, most detailed hair, best cleavage, (handjob:1.2), best pov handjob, best (long blonde hair), best (large sagging breasts:1.3), best (cum on breasts:1.6), best cum, (wearing tight blue nurse outfit), medical fetish, stethoscope, examination, sunkissed, sunset hospital ward background, best bokeh, best depth of field, best (warm glow:1.2), best (soft lighting:1.1), best (shadows), best ALEXIS-REN

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:1.4), 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))