score_9, score_8_up, score_7_up, score_6_up, HD, (masterpiece), best quality, high resolution, very detail, extremely detailed face, perfect face, 1 femboy, in a psychiatric ward, shaved pixie cut, pink hair, pierced eyebrow, in straitjacket, ((black eyes, black sclera, fully black eyeballs)), crazy eyes, crazy smile, full view on the straitjacket