a smile、indian physician

(nsfw:1.5),medium quality, bad proportions, cross-eyed, (cropped, out of frame:1.1), (greyscale, monochrome:1.1), (un-detailed skin, semi-realistic, cgi, 3d, render, sketch, cartoon, drawing, anime:1.0), (text, logo, watermark, signature:1.2), ugly, old, child, malformed hands, bad anatomy, ng_deepnegative_v1_75t