Slice head of lettuce in half through core. Cut each half into three wedges. Cut each wedge in half again. The top leaves will just be stacked since the core is not there to hold them together.
Spear 3-4 tomato halves with toothpick and secure into each lettuce wedge or stack. Drizzle with blue cheese dressing and sprinkle with bacon bits, chopped onion, and more blue cheese if desired. Season with salt and pepper and serve!
To make dressing- In a small bowl, mash blue cheese and buttermilk together with a fork until mixture resembles large-curd cottage cheese. Stir in sour cream, mayonnaise, vinegar, lemon juice, sugar, and garlic powder until well blended. Season to taste with salt and pepper.
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