(best quality,4k,8k,highres,masterpiece:1.2),ultra-detailed,

(best quality,4k,8k,highres,masterpiece:1.2),ultra-detailed,(realistic,photorealistic,photo-realistic:1.37),HDR,UHD,physically-based rendering,professional,vivid colors,bokeh,detailed eyes,detailed lips,extremely detailed eyes and face,longeyelashes,beautiful American woman,27 years old,behind the table,white gown,Doctor,Mount Brownshewer Court,ztiler sneil,in front of the camera,black hospital background

(nsfw:1.5),NSFW, sfw ng_deepnegative_v1_75t, ((badhandv4)), (worst quality:2), (low quality:2), (normal quality:2), low-res, multiple bodies, bad anatomy, bad hands, normal quality, ((monochrome)), ((grayscale)) watermark, bad legs, bad arms, nipple, unnatural