I guess like anything else, depends on what you want to spend. A friend had used "Beau by Aksel Paris" in NYC and was pleased with what he got. I have zero experience with them though. To VICI's point, the issue is probably for truly bespoke, you will need a few fittings to get it perfect...
Personally, I do think these are a better starting point than buying OTR. Also depends on your frame...I have a pretty small stomach/waist but lift quite a bit, so OTR never fits perfect. If you have a more normal frame, maybe a properly constructed OTR suit does the trick.
In NJ, I have heard Carlos from Summit Tailors does good work, and believe he does it all in-house. Last I heard suits were starting in the $1500 range.
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