(masterpiece, best quality, ultra-detailed, photorealistic, highres), 20-year-old Caucasian girl, petite yet curvy body, soft pale skin, flat toned stomach, narrow waist, wide hips, thick thighs, large round breasts, erect pink nipples, flushed cheeks, long straight platinum blonde hair cascading over her shoulders, soft full lips parted with moaning, crystal blue teary eyes, heart-shaped face with smeared mascara and spit around mouth, fully nude, kneeling on cold tiled floor, arms bound behind her back, large transparent enema hose inserted deeply into her anus, swollen distended belly showing fullness, anus leaking clear fluid, face covered in drool, rimming stains, and strands of vomit dripping from her lips, eyes half-closed in dazed humiliation, legs spread wide for full exposure, visibly trembling, gag reflex mid-activation, small vibrator partially inside her pussy, wet inner thighs, silver collar on neck with hanging chain, dim clinical lighting, medical examination room, reflective floor, grimy sterile atmosphere, HDR sharpness, cinematic contrast, extreme realism