Collage is a term used to describe both the technique and the resulting work of art in which pieces of paper, photographs, fabric and other ephemera are arranged and stuck down to a supporting surface. Collage can also include other media such as painting and drawing, and contain three-dimensional elements. The term collage derives from the French words papiers collés or découpage, used to describe techniques of pasting paper cut-outs onto various surfaces. It was first used as an artists' technique in the twentieth century.