Our Y-back suspenders come with the featured design on the front, and elastic in the back. This helps us create various, unique designs while retaining some elasticity. Adjustable strap bow tie (pre-tied) will fit neck sizes 12"-20" for sizes infant and child; neck sizes 16"-24" for adult sizes. These bow ties are also double layered with a strap attached for a more formal look. *When choosing Bow Tie Only, Infant Susp=Infant Bow, Child/Small Susp=Child Bow, Regular+ Susp=Adult Bow Because all of our items are handmade, pattern placement may vary. Product Tips: If your suspenders seem to be too big, try adjusting them over the fabric portion. (Feel free to message for an example) To keep our bow ties folded properly, please do not store underneath heavy items Suspenders and bow ties are to be spot cleaned only. No machine washing