(ultra realistic,32k, masterpiece:1.2),(high quality:1.1),,
<lora:NurseJoy_v1:0.8>(bored:1.1),(eyeliner,long lashes, mascara:1.1),zznursejoy, pink hair, hair rings, blue eyes, pink dress, apron, nurse cap, white footwear,hospital  moonlit lagoon, silver waters, luminescent creatures, mystical atmosphere (blurry background:1.2),(looking at viewer, portrait:1.1),,(huge breast,large breast:1.1),<lora:add_detail:0.96>full body, 
(refraction:1.1),