This pattern is simple piecing, then applique; little girl's features are traced with a pen, and there's just a bit of colored pencil on eyes, cheek, and mouth. She has a sheer organdy apron. Quilt fabric is Jo Morton's Lucinda's Needle; there are other Jo Morton fabrics as well, including a Meg's Bouquet and a Classics.
The incredible fun in these portraits is choosing fabric for quilt, wall, picture frame, dress, etc. I have a bunch of these started :-).