Isn't this image hysterical? It's hard to tell, but it's orange and red stickles for the flames and I used a clear stardust pen to make the candles sparkly. The frosting on the cake is liquid applique and she's colored in with copics.
BTW, the apron is hideous on purpose. I used to know a lady who had one just like it and I always cringed and still smiled when I saw it. It just seemed appropriate to try to mimic the pattern here.