All you need to create this look are: two different colors of nail polish and a sharpie. Pretty simple if you ask me.
I started by painting the entire nail with one color. I chose MAC Frayed to Order. Its a matte white with pink pearl and once you add a topcoat it looks amazing.
Once that dries I made little spots with the pink polish I picked. I just used a regular hot pink. The spots don't need to be the same size, and in fact it looks better if they are different shapes and sizes.
Once the spots dry I took my handy dandy sharpie made little marks on either side of the spots similar to these ( ). They too look best when they are different sizes.
It may sound like a lot but honestly is super easy. I got it all done while watching an episode of glee :)