My impressions;
When I first saw it I thought the makeup was a little strong, but I dont' wear masquera nor am I really familiar with how it runs.
I'll admit that I didn't notice the knife until it was mentioned. The story i drew in my head upon seeing the rip was intense. Combined with the look on her face, which isn't anger but more like a sorrowful confusion, the rip to me felt of violation. My mind drew a scene of attempted rape, and in her aftermath, her trying to understand the "why" and "how could it happen to me".
Obviously i'm off, especially with the knife in the frame, but that was my first impression.
Very powerful indeed.