This is a combination of drawing + AI + photoshop.
By itself, AI is not yet sufficiently developed and does not do what you want from it, it does a lot of hack work, and this needs to be corrected. You can draw something first, then give it to the AI ​​for revision, then fix its hacks in Photoshop, then again give it back to the AI ​​for revision. And so I usually go 20-30 circles, and more, before I get the desired result.