Here's an anniversary card I put together using a silhouette digi image from Stitchy bear, some dies and Meiflower black stick on gems. I think it turned out quite elegantly.
I drew the swirls out roughly on paper and then used a pokey tool to make a little hole where I wanted each gem to go. I then put the "template" onto the card and using a pencil, lightly marked through each hole, after removing the template I added a gem to each mark, randomly varying the sizes of the gems as I went along.
Thanks for looking,