Nothing is different between this Tare and a handmade one except the sewing of the stitches on the cotton. The rest is handmade. They are made out of indigo dyed deer leather and a cotton of a quality at #11000. The marerials made for this Tare is same as the materials that are made for the handmade ones. The indigo dyed cotton of #11000 is at its highest quality. It is filled with cotton. The Tare is made to your measurings. The distance between the stitchings are 2mm. To receive the right size, please specify your measurings when ordering. Height and Stomach circumference.