My son was at a wedding and the bride wanted a blue and white striped bow tie. That was excellent. I bought my slim size 6 years old, the largest size considering the reviews, and it fits perfectly (8-10 years old, width: 3.75 inches / 9.5 cm). In my research, I've learned that if your neck measures 13 3/4 inches or more, you're better off buying an adult-sized bow tie.
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