>>31533
The eyes should be edited in some vector illustration software (like Adobe illustrator or Inkscape), I made a guide for inkscape, see pic. I also started working on a modding guide for characters, it's in the dev version.

>>31496
Eye gouging can be done with the skinning knife. I'll make an update soon, so that the wound scale can be set from the gui to make eye sized holes.

>>31531
I plan on some, though there are a few limitations that may sound weird, like I have no way to tell if the skin image under the cursor is transparent or not. Might find some workarounds tho.

>>31536
Swollen things don't really work in a purely rigid body 2D environment without rewriting the whole game. You can still give her black eyes with dark-ish tool effects.