From Warren Kurtz's interview with Juliana for Goldmine:
JH: I drew this female in a bikini with a black pen and Jed Davis colored it, including the blood bubbles coming off the hands in the background. I drew it from a photograph where the woman was actually in the sky with buildings in the background, so I don’t know if it was a circus or what the event was. She looks like a warrior, going through harsh times, but emerging victoriously, flying, and who needed those hands anyway?
GM: It is an interesting contrast, just like your music.
JH: Also, the pose she is in seems really joyful and playful as she soars.