This design features a black and white illustration of a hand with a middle finger gesture, accompanied by a red heart. The hand is positioned in the center of the image, with the middle finger prominently raised. Above the hand, there is text that reads "I AM 59 +". The text is in black, and the number "59" is emphasized by being larger than the rest of the text. The overall style of the image is simplistic and cartoonish, with bold outlines and a limited color palette. The image appears to convey a message of defiance or rebellion, as the middle finger gesture is often associated with such sentiments.