To the left is my third try and close to perfect for my needs.For my first one I actually used two men's ties attached at the middle. I did attach scissors, needle cases and pincushion by chains and added small pockets at the bottom. The chains were always tangling and catching on things.
On my second try I used a man's tie for a pattern and used decorator fabric. I made pockets (or pouches) for items. In addition to needle cases, scissors and pincushion, I also had an emory bag (to sharpen pins and needles), an awl, a tiny tape measure, and sterling antique threads holders. It was too much and too heavy. So on my third try I stripped down to what I needed the most and decided to make it pretty as well as practical by doing it with crazy quilting.
On the far top right I have two needlecases. One is long and used to be a sterling case for a thermometer but is perfect for long needles I use for doll making. The other case is used for regular embroidery needles. Both are on chains and tuck into pockets so they won't get lost and won't interfere with my handwork.
Below the the needlecases is a flat pincushion in which pins are inserted from the side. I may replace it with one filled with emory powder. It holds only a limited amount of pins because it is small but certainly enough for handwork.
Below the pincushion at the bottom of the right side is a pocket that has a tab which swings out and holds needles that are threaded and in use. When using several colors the unused threaded needles can be pinned into the tab and needle and thread tucked into the pocket.
On the left side is my beloved scissor angel with its own pocket for the scissors. At the bottom of the left side is another pocket into which I tuck all theads I clip.
I've made it pretty to look at and pretty to wear by doing it with crazy quilting and adding favorite buttons and charms. I've used this many years now and it has traveled all over with me. If you decide to make one I recommend you make a list first of what you need to have and draw the size of pockets needed on your "tie" pattern.