to take a piece of sb’s skin between your thumb and first finger and squeeze hard, especially to hurt the person 拧;捏;掐
My sister’s always pinching me and it really hurts.
我姐姐老拧我,真的很痛。
He pinched the baby’s cheek playfully.
他捏着宝宝的脸颊逗着玩。
figurative
She had to pinch herself to make sure she was not dreaming.
她不得不掐一下自己,弄清楚自己不是在做梦。

消瘦苍白的;形容憔悴的;If someone’s face is pinched, it looks thin and pale, usually because they are ill or old.
Her face was pinched and drawn…
她一脸苍白憔悴。

She was a small, silent woman with pinched features and thin hair.
她是一位瘦小、沉默的女子,面容消瘦,头发稀疏