It's not an inside out bow. If you have TOTTs, there are instructions for an inside out bow in there (page 11) and it doesn't look like this. It looks like the bow posted at the end of this thread: http://hipgirlclips.com/forums/how-m...e-out-bow.html
Now, that being said, I'm not entirely sure what it is, but it looks
like a regular twisted boutique that is really
twisted. As in, the angles are more
than 90 degrees, and the loops are a little bit bigger than a regular twisted, which allows more the inside of the ribbon to show.