I did this layout for a challenge at the Flying Unicorn to have at least three items including paper "popped up off the page" and for a challenge at Scrap, Paper, Scissors to use the first letters of your birthstone on a layout.
I have popped up my paper, the photo, the fairy, the title and the flowers and leaves. I have used:
E - (E)dge Punch
M - (M)etal medal
E - (E)yelets
R - (R)ub-on
A - Grand Daughter is doing (A)rt
L - (L)ace
D - (D)ate Stamp
I used a mix of patterned paper from Pink Paislee Color Wash and Kaiser Craft Enchanted Garden. A Martha Stewart Edge Punch, Bo Bunny Rub-on, Prima flowers, lace is unknown.
Here are some close ups... please remember you can click on an image to see a larger picture.