This was requested by galaxy_lush. I'm so sorry for posting late >.<
{example on top}
Step 1: Open a new canvas in Pixlr of dimensions 512x800.
Step 2: Click the external link or the link in the comments and save the picture of the heart. Then, open it as a layer onto your canvas. Resize if you want.
Step 3: Now, since both the background and the picture are white, there's no need for you to cut out the heart. However, if you want to place the heart on a different coloured background, then cut out the picture using the magic wand tool.
Step 4: Now type in your text. I used Bebas Neue Regular for 'Tear in my', Signerica for 'heart' and Bebas Neue Book for ' j o h n d o e'.
Step 5: Add a lighting texture if you want to add some glossiness to your cover.
Yep, that's it, you're done! :)