"Flowers in the Forest" by Carol at mamcjt at Flickr. This 14x21 1/2 quilt is both machine and hand quilted with the addition of over 100 tiny buttons, plus white french knots to give a mystical affect.
All you do is spear a couple of yoyos in graduated sizes, smallest first, with a knitting needle. I used a little hot glue on the last yoyo to keep them in place. The buttons were attached with E-6000.