A woman in a dress is posing with her hands on her hips

extremely thin woman，fair skin，The body is very thin，Rib chest，Protruding sternum，The sternum is obvious，Waist is very thin，The ribs are noticeable，Protruding ribs，The pelvic protrusion is very obvious，Clear outline of pelvis，The crotch protrudes，thin shoulde，Upper body，Waist is very thin，Sunken abdomen，Abdominal muscle atrophy，Delicate arms，arm muscle atrophy，thin legs，leg muscle atrophy，Knees obviously protrude，Ankles are obviously prominent，wearing tights，Wear tights，wearing slippers，short hair，asian face，Haggard expression，cry，Excessive weight loss，sunken face，Severe malnutrition，Skinny

(nsfw:1.5),owres,bad anatomy,bad hands,text,error,missing fingers,extra digit,fewer digits,cropped,worst quality,low quality,normal quality,jpeg artifacts,signature,watermark,username,blurry,missing fingers,bad hands,missing arms,large breasts