How does lady gaga make these dresses she wears?

Like i get she has designers,but like what did she like go up to someone and be like " wanna dress like this" and thed make it? or would they just make stuff like this and shed just wear it?cause if her whole closet is full of sewing machines and wigs i wanna know how she does it,cause if and when im like that, i wanna know how she does iit