Another option (although I can't speak for its grammatical propriety) that might help guide the reader through different pauses that help distinguish items on the list from the side descriptions of them would be to use dashes.

> She looked tough: pierced nose, broad eyebrows, tousled hair - almost spiky.
>
> I tried picturing him: his tiny body swinging above the ground, his eyes bloodshot - almost popping out - and his tongue hanging to the side like a dead worm.