(masterpiece:1.4),(((Shooting from directly below the back))), ((view from directly below the back)), (59 year old woman :1.5),(Facial wrinkles:1.2), (looking aside : 1.3), (mid-length hair : 1), (leaning forward : 1), A kind smile,Maternal, (Mature Woman : 1.2), old, Elderly, {(nurse), (long dress : 1.3), (Collared dress:1.1), (Short sleeve), (White Dress)}, wide hips, ass protruding, (focus on hips : 1), freckled skin, Pale skin, To the hospital, operating room, Hospital beds

((revealed hips : 1.3)), (((looking at viewer : 1.3))), ((cut-out on back of the clothes : 1.3)), ((sheer dress : 1.3)), ((torn dress : 1.3)), ((tight dress : 1.3)), ((short-length dress : 1.3)),(blue : 1.3), (multiple girls : 1.3),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))