Never out of fashion. Indeed a timeless accessory. I wear a bow tie with a tux shirt and PC to formal dinners and such. I have a pretied one for the nights I can't fully remember how to tie the bow and I have a couple of real ones. The real ones come from Beau Ties Ltd. They have a great selection of styles and designs. My Sydnie7 spouse likes the real hand tied look and I do too.