Grandma Elf:

 

Grandma Elf is made entirely of paper (including her costume and hair) over a wire and wood armature.  Her head and shoes are sculpted from paper clay.  She is just over four inches tall and stands approximately six inches including her box.  Her box is also made of paper and embellished with vintage trim and carved shell button.  Grandma carries a tiny pair of scissors and a spool of silver tinsel.