A beautiful 20-year-old, (Japanese:1.9), futanari top model named Michelle, 5'5", (165 cm), tall, athletic yet curvaceous physique, full large breasts, slim waist, toned legs and thighs, delicate Japanese facial features with large expressive eyes, soft rounded cheekbones, small delicate nose, full plump lips, smooth flawless porcelain skin with natural luminous glow, youthful innocent yet seductive appearance, glossy dark brown hair in silky straight texture without bangs, mid-back length with soft face-framing layers and healthy shine. Makeup like Sarina Valentina, bold dramatic blue smoky eyeshadow, thick black eyeliner, long mascara, glossy nude lips, small beauty mark on cheek. She is standing in a doctor's office, full body view, topless with large bare breasts exposed, ((one hand over her mouth)), to stifle a laugh, another, ((hand parting her yellow polka-dot thong to reveal her penis)), . Her amused gaze is fixed directly at the camera. Wearing only, yellow polka-dot thong panties with white lace trim and small bow, small navel piercing with gem, bracelet on wrist., ((Prominent visible natural bulge in the thong panties from her large but realistic thick penis)), ((detailed realistic crotch bulge with hand pulling fabric)), ((clear subtle outline of thick shaft and balls under the thin fabric, fabric stretched and slightly lowered)), proportional and believable size, teasing semi-erect state. Background, medical posters on the wall including "Major Muscle Groups" and "OTITIS MEDIA", black examination table partially visible, medical equipment and rolled posters on the side, soft pinkish indoor lighting, highly detailed, photorealistic, masterpiece, 8k.