Luke Lulu Products are all handmade with care in our South Florida studio. We use Gildan Tee Shirts - the gold standard for sizing and fit, heat apply and top stitch our suspenders and Elmo applique. The bow tie is handsewn and then stitched to the onesie. This outfit is incredibly durable and will go through multiple washes while maintaining its fit and color. We use designer fabrics for all our bowties, which is why our birthday shirts look so amazing in photo shoots and birthday parties. We guarantee your complete satisfaction or your money back!