The Negative space of the cutout in the card above is a shaker top for "confetti" paper below. The sentiment is photoshopped in, but I think it is going to be white embossing on acetate below the bow. It will be whatever is right for the recipient. Smile--"Things will get better" "It's your Birthday" "You Won" "You Did it!" "or a scripty saying that suits the recipient. This is double stacked orange fun foam behind the diecut, and organza ribbon with DP on Tangelo Twist (SU) and the shaker part is raised, not recessed.
This is a 4.25 x 4.25 shaker card that is see through to the inside background (double window). All layers are touched with three colors of distress oxide. See Here for more info