Ugly face, acne face, blemish skin

(nsfw:1.5),verybadimagenegative_v1.3, ng_deepnegative_v1_75t, (ugly face: 1),sketches, (best quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes