Someone is holding a piece of paper with a pattern on it

70 year old woman's arm, Hands and fingers of a 70 year old woman, dedos de mulher com unhas

easynegative, asian, chinese, lowres, text, error, cropped, worst quality, low quality, jpeg artifacts, ugly, duplicate, morbid, mutilated, out of frame, extra fingers, mutated hands, poorly drawn hands, poorly drawn face, mutation, deformed, blurry, dehydrated, bad anatomy, bad proportions, extra limbs, cloned face, disfigured, gross proportions, malformed limbs, missing arms, missing legs, extra arms, extra legs, fused fingers, too many fingers, long neck, username, watermark, signature