graphic novel illustration, photorealistic, full body of a beautiful young nurse woman, brown hair in a bun, green eyes, blue ball gag, , standing (legs apart), (spreader bar), wrist cuffs, ankle cuffs, full body, chained, arms up, thin, narrow waist, wears an unbuttoned blue nurse robe, black high heels, black thighhighs, black lacy bra, operating room background, intricate details, cinematic lighting, amazing quality, amazing shading, dark lighting, detailed Illustration, wallpaper masterpiece, best quality, perfect hands, view from front

worst quality, low quality, bad anatomy, bad hands, bad body, missing fingers, extra digit, fewer digits