Score_9,score_8_up,score_7_up, extremely quality photo, sharp focus

score_9,score_8_up,score_7_up, extremely quality photo, sharp focus, epic realism,realistic, source_photo, proper alignment, rating_explicit,32k,(photo realistic:1.3),small face, BREAK 1 girl,20 years old,cute Asian,cute Japanese,skimpy,(bangs),tied up hair,skinny,nurse,pale blue nurse uniform,big breast,nipple,natural skin,white skin,hospital,standing,bent over,((handjob pov)),holding penis,from below,looking down,pov,looking at viewer,downblouse,nipple slip, cum on chest, cum on legs, cum on clothes, cum on thighs,excessive cum shot,femdom

(worst quality,low quality:1.4), (depth of field,blurry:1.2), (greyscale,monochrome:1.1), 3D face, cropped, lowres, text, (nsfw:1.3), (worst quality:2), (low quality:2), (normal quality:2), normal quality, (grayscale), skin spots, acnes, skin blemishes, age spot, (ugy:1.331), (duplicate:1.331), (morbid:1.21), (mutilated:1.21), (tranny:1.331), mutated hands, (poorly drawn hands:1.5), blurry, (bad anatomy:1.21), (bad proportions:1.331), extra limbs, (disfigured:1.331), (missing arms:1.331), (extra legs:1.331), (fused fingers:1.61051), (too many fingers:1.61051), (unclear eyes:1.331), lowers, bad hands, missing fingers, extra digit, bad hands, missing fingers, (((extra arms and legs)))