Face a of young fit annorexic thin fit pale shocked nude (21 year old teengirl

face a of young fit annorexic thin fit pale shocked nude (21 year old teengirl:1.3), (red lipstick:1) white pale skin, wearing black leather fetish, long hair, black choker, photo by Annie Leibovitz, (skin hair, skin pores:1) background cloudy sky,<lora:epiCRealismHelper:0.7> <lora:more_details:1>

(ugly eyes, deformed iris, deformed pupils, fused lips and teeth:1.2), (un-detailed skin, semi-realistic, cgi, 3d, render, sketch, cartoon, drawing, anime:1.2), text, close up, cropped, out of frame, 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,two heads, two people, watermark,anime, japanese, japan, black and white