Our Bow Ties are handmade and pre-tied. They come with an adjustable strap adhered that secures around the neck under the shirt collar.Sizing: Please check measurements on the size chart before ordering.*Note: If your gentleman wears larger clothing for his age, we recommend going by the clothing size to be safe. If you have any questions, please ask!SMALL (6 months - 5 years old): 3.5 inches wideMEDIUM (6 - 12 years old): 4 inches wideLARGE (13+ years): 4.5 inches wideProcessing and Shipping Ti Blue Bow Ties For Business, Blue Bow Tie For Business, Blue Adjustable Bow Tie And Suit Accessories, Dapper Adjustable Blue Ties, Summer Blue Bow Tie And Suit Accessories, Summer Blue Bow Tie And Accessories, Summer Blue Bow Tie Suit Accessories, Blue Bow Tie With Bow Tie Back For Summer, Blue Summer Bow Tie With Tie Back