The Handshake: Medium Skin Tone emoji is a modifier sequence combining ? Handshake and ? Medium Skin Tone. It is used as a single emoji on supported platforms.
Handshake: Medium Skin Tone was added to Emoji 14.0 in 2021.
U+1F91D
U+1F3FD
?? Handshake
?? Emoji modifier fitzpatrick type-4