Realistic, masterpiece, best quality, detailed, natural lighting

realistic, masterpiece, best quality, detailed, natural lighting, soft shadow, detailed background, photography, depth of field, intricate details, detailed face, subsurface scattering, realistic eyes, muscular, photo of a handsome (latino man), sexydoctor, stethoscope, open shirt, pants, hospital, (40 years old),

1girl, feminine face, low quality face, deformed face, deformed penis, 3d rendering, cgi, cartoon, lowres, worst quality, grayscale, monochrome, watermark, bad-hands-5, verybadimagenegative_v1.3, ng_deepnegative_v1_75t,