Here's a side view of the card. This card is 5.5 x 5.5. The blue patterned paper was cut on the Cricut using Elegant Edges cart, then sewn on the edges using my Janome sewing machine. The butterfly image was also cut on the Cricut using the Martha Stewart Elegant Cakes Art cart, then embellished with sticker gems. I also added some white irock gems. The ribbon was from the dollar bins at Target I have had for a long time. The flower button was from Michaels. The sentiment "Happy Birthday!" is by TPC.
This is what I started out first. This particular image however, only came with only two layers - the card mat that would go behind the image, and the image itself.
You could leave the cut as a silhouette, like the one above, or if you want color (like I did), I just ungrouped the images and "tossed" aside the ones I didn't need. Here I cut only the carousel in green cardstock instead of the whole card.