Advanced Sashiko goes beyond simple patterns, incorporating complex, layered designs and intricate stitching techniques like moyouzashi (patterned stitching) and hitomezashi (one-stitch Sashiko). These methods allow for more creative freedom, such as blending geometric motifs with natural themes or reinforcing fabric with stylish patchwork and mending. The result is durable, visually captivating clothing that celebrates individuality and heritage, merging functional repair with artistic expression in wearable art.