Hell, I would have used hollow point fragmentation rounds - with phosphorous.
Or a shotgun shell packed with cut-up dimes?
But seriously...
Is it just me, or is it kind of funny the way the lump swells away from her face on the front side? Too sudden and the swelling seems unnaturally shaped. The abrasion in the center of the swelling, not very well differentiated from the surface of the lump.
Could it possibly be faked somehow, either with hollywood makeup or digitally? I notice she refused to give her name.