Lots of people confuse design with styling or decorating. Not that styling and decorating are invalid...but I think it's important to consider the distinction, in terms of working creatively. Design involves more than just application, and in a way, it goes very deep. Design uses form, symbol, reference, and context to create something new and thought provoking...and of some use.
That being said, I consider these reversible bowties to be actual design. I really love the reference of the bowtie, with the traditional colors and patterns, flipped on it's head to make something wacky yet informed...
I came late to this party - they're no longer available. But they were originally designed by this person for this company.