Unnatural lighting sources, text, stethoscope, ((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, generic stock photo aesthetics, excessive use of filters, pixelation, poorly integrated digital elements, crowded and chaotic background, unrealistic reflections, overuse of depth of field, misplaced highlights, inconsistent composition, visible editing mistakes, unrealistic hair color, overly bright highlights, distracting lens anomalies, awkward framing