Besides the great use of a quote in this image, the entire thing is a papercut, cut from one piece of (black) paper and mounted on the beautiful cream colored cotton paper above. Artist Tina Tarnoff’s online Etsy store displays more of her work.
Papercutting is an incredible art form. You can find entire websites dedicated to the art. Below is another example of papercutting, by Elsita (another seller on Etsy). The technique takes a lot of practice and patience but the results are well worth it.