masterpiece, best quality, 16K, hospital, operating room, old woman, interior photo, glad, smiling, (legs spread), (m legs), ((spread pussy)), (squatting), front view, long hair, ponytail, black hair, eyes open, (large breasts:1.41), (wrinkles corners eyes:1.32), (nasolabial:1.32), (old skin:1.32), freckled skin, wrinkles skin, pale skin, (old muscles:1.2), plump, {(nurse), ((breast pocket)), ((collared dress)), ((short dress:1.48)), (LightBlue dress), (see-through dress:1.1), ((short sleeves)), ((thighs)), (LightBlue headwear), (red tee-back panties), (LightBlue sandals), ((stethoscope))}, undone clothing, beauty mark, 65-year-old, old, elderly, japanese, inside, in the hospital, with a operating table, in the afternoon, real person, ultra realistic photo, nsfw, full body shot, from front, front view

(nsfw:1.5), verybadimagenegative_v1.3, ng_deepnegative_v1_75t, (ugly face:0.8),cross-eyed,sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, bad anatomy, DeepNegative, facing away, tilted head, {Multiple people}, lowres, bad anatomy, bad hands, text, error, missing fingers, extra digit, fewer digits, cropped, worstquality, low quality, normal quality, jpegartifacts, signature, watermark, username, blurry, bad feet, cropped, poorly drawn hands, poorly drawn face, mutation, deformed, worst quality, low quality, normal quality, jpeg artifacts, signature, watermark, extra fingers, fewer digits, extra limbs, extra arms,extra legs, malformed limbs, fused fingers, too many fingers, long neck, cross-eyed,mutated hands, polar lowres, bad body, bad proportions, gross proportions, text, error, missing fingers, missing arms, missing legs, extra digit, extra arms, extra leg, extra foot, ((repeating hair))