I don't know.. because before J had enough hair, I just used headbands that had a spot to slide a bow on. She has fine blond hair, and from afar it looked like she didn't have any, so it would've just *LOOKED* odd to have a bow without hair, imo. But now, I use the tiny clips from walmart and line them with ribbon. I haven't had a problem yet... her hair is still fine... but growing in. I make medium size bows, line the clip... put her hair in piggie tails and put them above each pigtail. They stay in unless she's had enough and takes them out!!