UHD 8K, extreme realism, maximum detail, (There are one bbw women on the scene:1.7), (55 year old female DOCTOR and 18 year old girl PATIENT:1.8), The PATIENT, (girl at the gynecological examination:1.7), (lying on her back on the examination chair:1.5), (stretched legs:1.6), (holding her legs:1.7), (4 inch space anal:1.7), (4 inch space pussy:1.4), (cum in her ass:1.6), (show her tits:1.6), (redhead), (braided ponytail), (tshirt:1.5), (upskirt:1.4), (big tits:1.4), (shocked face:1.4), nice blue eyes, (trimmed hairy pussy:1.6), (she's got her head up, her eyes closed:1.7), The DOCTOR, (bowing between patient’s legs:1.7), black hair, medical gloves, saggu tits, (treatment room in the background:1.5), (The viewer’s perspective is from the top, directly above the scene, looking straight down:1.6), (view of patient ass), perfect long legs, perfect fingers, perfect feet, perfect anatomy, perfect composition of lights and shadows, dynamic, the brightest image, clear focus