score_9, score_8_up, score_7_up, masterpiece, best quality, ultra-detailed, photorealistic, highres, 4k, (Satoshi Urushihara anime style), original, maximum details, high quality, high resolution, ultra high detailed character, highly detailed, Perfect face, perfect body, perfect eyes, perfect pupils, perfect fingers, full body view, zoom out, wide shot, . sexy milf, ((flawless anatomy and positioning)), ((a cute psychiatric patient with very long, dishveled black hair, (Woman in red tight latex straitjacket, red tight latex stockings), cut-out breasts, (Legs are tied together with belts), ass up on a hospital bed, Arms behind her back, She wears no pants, o-Ring Gag, she is dripping wet, She is moaning lewdly and smiling, threesome, A male doctor is fucking her ass, blowjob, a doctor grabs her head, Large erection. Very huge cock, (huge creampie, huge cumshot), deep anal penetration)), Fleshy, lips, Puffy, Detailed, wide, <lora:Lips._Fleshy_lips_Anime-000009:.8>, <lora:torino-XL-v2-ep20:.8>