An ultra-realistic photo of a 63-year-old, overweight, umkempt medium-length wavy grey hair, wrinkled face, ugly, (1.6), wrinkled doctor with large, big belly, big saggy breasts, (1.8), hanging over her navel and one ingrown nipple, blue eyes, small lips she is dressed in a white doctor's coat buttoned only in the middle, her hands are resting on her desk, she is leaning forward, facing the camera, this position opens the top of her coat over her breasts and the bottom over her vulva, she is holding a stethoscope, in a consulting room