I was never all that into silhouette pillows - they seemed a bit dour and old fashioned in black and white. And then I saw these. (Top: Aunt Bucky via Simplified Bee; Bottom: Karen Hilton Designs.)
The real deal will run you $70 to $75 and justly compensate some cool designers. Or you can try your hand at your own, using your own kid's profile (or British royalty if you prefer.)
Checkout this how to from Do It Yourself magazine that uses felt and fusible web.
Good Day Sunshine used felt and a stitched-on silhouette.
Brooklyn Limestone makes hers with an iron-on transfer.