Highest quality, super high resolution,4k,8k, making the plus sign,

(nsfw:1.5),NG_DeepNagetive_V1_75T,(greyscale:1.2), paintings, sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, age spot, glans