Described herein is customized outerwear created through additive manufacturing to provide for a plurality of materials, patterns and shapes that are customized for a particular user. The outerwear is designed through the use of a three-dimensional (“3D”) model of a body part, such as an additively-manufactured shoe for a foot. The 3D model is analyzed to provide detailed information on the anatomical features of the body part, which aids in the selection of specific materials, patterns of materials and shapes that are integrated into the design of the customized outerwear. The design is then loaded into an additive manufacturing machine, such as a 3D printer, for inexpensive and rapid manufacturing.