Pam Garrison - Pam's work is so inspirational. This looks to be a fairly heavily worked page, but it may actually be down the the layers of collage. Love this, lots to look at Journals Covers, Journals Inspiration, Altered Art Books, Cute Ideas, Journals Pages, Pamgarrison, Patchwork Art Journals, Garrison Journals, Paper Collage
Also on these boards
Must try this technique not only stitched and collages but just be cutting a shape out and adding a textured paper to the background.