There is a woman with a toothbrush in her mouth

a woman with hand over her mouth, there is a thumb in up right corner of picture,extremely close-up shot, tears running from her eyes, detailed facial features, emotive expression, dramatic lighting, cinematic composition, highly realistic, photorealistic, 8k, best quality, masterpiece

worst quality, low quality, bad anatomy, bad hands, bad body, missing fingers, extra digit, fewer digits