(masterpiece, best quality:1.2), <lora:bsd_akiko-10:0.8>, <lora:crazyExpressions_:0.7>, upper body, solo, 1girl, yosano akiko, crazy grin, looking at viewer, hands on own face, bangs, hair ornament, constricted eyes, constricted pupils, bright pupils, white collared shirt, short sleeves, black necktie, black gloves, doctor's office