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I like the calm expression. Maybe it would be an idea to test cropping away the arm. Even if it frames the image nice, it is a bit distracting. Or maybe just take away a tiny bit more of the hand but not the whole arm.
/matti

Matter of taste but I think the differential focus keeps the hand out of the field of view (I assume the aperture needed to be open given the light used) .
'Hot' lights really help in getting the older look IMHO , flash seems too 'harsh' . Anyway it's a really good portrait and I'm sure the sitter is thrilled with it.
I found another way to get an older look is to use an older camera from when optics were less complex ,.... or a Lubitel but I guess you're not as daft as me

A very nice and well composed portrait.

Regards,
John