Portrait of a young man, middle-aged, doctor, pointy ears, fantasy, brown hair, portrait, elf ears, pointed ears, ears with a tip

(nsfw:1.5),black and white, sepia, deformed, bad anatomy, disfigured, poorly drawn face, mutation, extra limb, ugly, disgusting, poorly drawn face, missing limb, floating limb, disconected limbs, malformed hands, blurry, (((mutated hands and fingers))), watermark, watermarked, censored, oversaturated, amputation, obese, double face, double hands, double body, extra digit, fewer digits, signature, deformed thighs