For this card, I went with a more CAS version of the sketch. The little bow is adhered with a glue dot (a small piece of which is also used to keep the ribbon ends in place), and the rose is popped up with some foam tape.
Stamps: PTI Rosie Posie, Sentiment Signs
Ink: CTMH Cocoa, Hollyhock, Smoothie | SU Lucky Limeade
Paper: CTMH Claire | PTI Stamper's Select White
Embellishments: CTMH pearls | PTI 1/4" White silk ribbon