You have to feel that your skills are improving.

(detailed line art, water color shading, aesthetic art, light tone), (masterpiece, photo_real, official art, octane-render):1.33, pale blue theme, (Japanese_male:1.21),(dark tan skin:1.1), dark-skinned male, ((Detailed brown stare eyes)), (handsome face, with stubble):1.1, (Detailed black-hair, super very short hair:1.33), operating surgeon, handsome_face, surgical mask, spread eagle, muscular, Shining sweat, bangs flowing to the right, (glows ultra-detailed, narrow brown eyes, gradient eyes, finely detailed beautiful eyes, symmetrical eyes, big highlight on eyes, narrow eyes,detailed, eyebrows, impatience, (in long sleeve surgical operation clothes, blue_pants), side_view, whole_body_shot, background university_hospital, operation_room, enter operation room, before starting operation, ethereal lighting, ray tracing,