Unnatural lighting sources, text, stethoscope, ((polish skin)), (airbrushed), (cgi), (doll), (Hollywood), glossy, photoshop, ((extra limbs)), ((extra fingers)), ugly, ((poorly drawn hands)), exaggerated breeze effects, distracting background elements, forced and awkward expressions, disheveled lab coat, inconsistent lighting, visible digital artifacts, unnatural skin smoothing, disruptive shadows, mismatched color grading, distorted facial features