This design features a black and white illustration of a hand with a middle finger raised, symbolizing 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 text that reads "I AM 49 +" in a casual, handwritten font. The text is in black, contrasting with the white background. The overall style of the image is simple and graphic, with a clear message conveyed through the use of symbols and text.