Used paper by MME cut out the image, did some tearing, layering, the inside is also designed similarly. Made all the flowers, the tag. This card is for my M-I-L and is a combo of a sentiment, encouragement, and b-day card. This past year has been very hard for her and she has been in and out of doctors offices and hospitals. This card was a great way to express the hope that I have that this will be a better year for her. :) TFL, God bless!