there is a woman that is smiling and posing for a picture, around 1 9 years old, grainy photo of an ugly woman, taken in the early 1990s, 90's color photo, taken in the late 1980s, in her early 3 0, in her early 20s, taken in the mid 2000s

deformed, bad anatomy, disfigured, poorly drawn face, mutation, mutated, extra limb, ugly, disgusting, poorly drawn hands, missing limb, floating limbs, disconnected limbs, malformed hands, blurry, ((((mutated hands and fingers)))), watermark, watermarked, oversaturated, censored, distorted hands, amputation, missing hands, doubled face, double hands, asian, b&w, black and white, sepia, cartoon, anime, manga