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/6693860

Positive prompt: monster, furry, anthro, antlers, fur, long_hair, black_hair, digitigrade, mature_female, old, lake, dock, outside, woods, wide_hips, milf, black_cloak, deer, wendigo, skull_head, facing_viewer, facing_forward, clothing, mist, fog, night, hands_on_breasts, large_breasts, demon, close_up, top_down, cleavage, shiny_head, <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, 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, extra_legs, extra_limbs, group, crowd, distortion, weird_tails, multiple_tails, multiple_wings, multiple_heads, watermark, pregnant, huge_belly, tail_head, merging_limbs, beak

Steps: 120,
Sampler: DPM++ 2M Karras,
CFG scale: 15,
Seed: 1888729624,
Size: 1280x1920,
Model hash: 6d71f31f61,
Model: yiffymix_v36,
Denoising strength: 0.5,
SD upscale overlap: 112,
SD upscale upscaler: R-ESRGAN 4x+ Anime6B,
Lora hashes: "epi_noiseoffset2: 3775aad8a02d, epiCRealismHelper: c5e24d9bc4b5, Furtastic_Detailer: 2e94914f676c, hyperfusion_550k_128dim-LoCon_extracted-v7: 66d481cf230a, more_details: 3b8aa1d351ef",
Version: v1.7.0