tenerlo sucio = to have something dirty
Tengo la cara sucia. = I have a dirty face.
If we know you're talking about a face,
La tengo sucia means the same thing (using a direct object pronoun instead).
In your example, we know that hands is the object, so
Las tengo sucias = I have dirty hands.
Quote:
No me estoy lavando las manos porque las tengo limpias.
- (Speaker looking at his/her own hands): "Las manos tengo sucias."
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