Blouses in Lolita typically have a puffed sleeve and either a large round peter-pan collar, high-necked collar, or an open square collar, but there are many variations on the Lolita blouse.

Blouses are frequently worn under JSKs or with a skirt, either over it or tucked. They also often feature detachable sleeves, which are a pair of long sleeves that can be buttoned onto short-sleeves to make a more versatile blouse.

The less formal version of the Lolita blouse is the cutsew.