The mode seems to be happy. A very good photo. I wish there was more fear being displayed. Remember the challenge, "Photograph something in such a way that it conveys a personal phobia or fear to the viewer. Try to make the viewer feel the emotion of the fear."
If wrinkles are the focal point then cropping to include only the woman's hands or face would have been more effective. As it is her busy shirt, the stitches in her knee, the knife, and the other incidental details cloud your message.