This design features a black and white illustration of a hand with a red painted finger, holding up a middle finger. The hand is positioned in the center of the image. Above the hand, there is text that reads "I AM 53+". The text is in a casual, handwritten font, and the number "53+" is emphasized by being larger than the rest of the text. The overall style of the image is simple and cartoonish, with a clear emphasis on the text and the gesture of the hand.