(opening legs）、ultra detailed 8k cg、BDSM、huge-breasted、Perfect female body、ballgag、Operating table、hospitals、surgery room、（(Tighten constraints)）、(Plus code model)、Asian、Clear focus、Very detailed face and skin texture，Hang up，（（Deformed breasts）），（Thoracic surgery），（monitor）

(nsfw:1.5),paintings, sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, age spot, (outdoor:1.6), manboobs, backlight,(ugly:1.331), (duplicate:1.331), (morbid:1.21), (mutilated:1.21), (tranny:1.331), mutated hands, (poorly drawn hands:1.331), blurry, (bad anatomy:1.8), (bad proportions:1.331), extra limbs, (disfigured:1.331), (more than 2 nipples:1.331), (missing arms:1.331), (extra legs:1.331), (fused fingers:1.61051), (too many fingers:1.61051), (unclear eyes:1.331), bad hands, missing fingers, extra digit, (futa:1.1), bad body, glans