This design features a black and white illustration of a hand with a middle finger gesture, which is a universal symbol for defiance or disapproval. The hand is adorned with red nail polish, adding a pop of color to the otherwise monochrome image. Above the hand, there is a text that reads "I AM 37+", suggesting a sense of pride or accomplishment. The text is written in a casual, handwritten style, further emphasizing the informal and expressive nature of the message. The overall image conveys a strong, assertive message, possibly related to age or identity.