Generated the original image in Civitai, then used R-ESRGAN 4x+ Anime6B in Automatic1111 for upscaling and inpainting.
Original image before modification: https://civitai.com/images/6693870

Positive prompt: (syuro, dagasi, nezumi \(artist\):0.8), (zaush, chunie, sigma x, darkgem), (personalami, trigaroo), dragon, anthro, scalie, hyper ass, sidewalk, latex outfit, fat legs, hyper fat, lots of scales, looking forward, hyper breasts, prostitute, confident, black horn, massive horns, from above, sharp nails, long nails, teeth, large teeth, looking at viewer, scary, monstrous, veiny breasts, buff, shortstack, milf, older lady, wrinkles, strip club, smoking, lit cigarette, great hands, white hair, wide hips(((increase saturation)), lighten shadows, (((perfect eyes, great eyes, black pupils)))), <lora:epi_noiseoffset2:1.2> <lora:epiCRealismHelper:2> <lora:Furtastic_Detailer:1> <lora:hyperfusion_550k_128dim-LoCon_extracted-v7:1> <lora:more_details:1>

Negative prompt: hyper penis, huge penis, bad anatomy, multiple penises, multiple balls, balls without penis, (merging:1.2), merged bodies, merging bodies, anal, (muscular:1.3), buffed, (masculine:1.1), (human:1.1), (human face:1.2), cowboy hat, cum in ass, boring_e621_v4, EasyNegative, Bad Hands 5, bwu, dfc, ubbp, updn, artist signature, signature, text, black and white, sepia, sketch, depth of field, poorly drawn face, ugly, low quality, dark, extra legs, extra limbs, ((tail))

Steps: 120,
Sampler: DPM++ 2M Karras,
CFG scale: 7,
Seed: 1274299509,
Size: 1280x1920,
Model hash: 6d71f31f61,
Model: yiffymix_v36,
Denoising strength: 0.3,
Mask blur: 4,
Lora hashes: "epi_noiseoffset2: 3775aad8a02d, epiCRealismHelper: c5e24d9bc4b5, Furtastic_Detailer: 2e94914f676c, hyperfusion_550k_128dim-LoCon_extracted-v7: 66d481cf230a, more_details: 3b8aa1d351ef",
Version: v1.7.0