It's difficult to see in the photo, but there is paper piercing along the width of the card above and below the sentiment on the Purely Pomegranate CS, and on the Bashful Blue circle.
The butterfly image is stamped in Purely Pomegranate, then stamped again on another piece of WW, cut out, and mounted with stampin' dimensionals near the center of the butterfly for a 3-D appearance.
The flower left of the sentiment is punched out from the Cutie Pie DP with the 1" Circle Punch.