I made this pillow 2 years ago. A friend of mine had made one out of old ties and I liked it so much I had to make one. My daughter had an old dress that no longer fit her and I liked the soft print so I cut up the dress and used that. It's made of little square puffs that are stuffed from a little slit in the back and stitched together to form strips. Then the strips are stitched together and a ruffle and backing is put on and the rest of the pillow is stuffed. Not too long ago, I saw a picture of a quilt for sale and it was made the same way, but I don't think it was hand made.