Arafed man in a vest and tie holding a medal

{A Victorian-era doctor with extremely muscular arms, giving a thumbs up. The doctor is adorned in authentic 19th-century doctors attire, with a stethoscope hanging casually from his neck. His facial expression reflects concern}, Black & White Photograph, Vintage Style, Classic Portraits, Camera: 35mm, Shot: Medium Shot, Render: (High Resolution:1.2), (Detail:1.3), (Soft Light:1.15)

(nsfw:1.5),(rmadanegative:1.3), (deformed iris, deformed pupils, sketch, cartoon, drawing, anime), text, cropped, out of frame, worst quality, low quality, jpeg artifacts, ugly, duplicate, morbid, mutilated, extra fingers, mutated hands, poorly drawn hands, poorly drawn face, mutation, deformed, blurry, dehydrated, bad anatomy, bad proportions, extra limbs, cloned face, disfigured, gross proportions, malformed limbs, missing arms, missing legs, extra arms, extra legs, fused fingers, too many fingers, long neck, UnrealisticDream