Depends on where you live, this may be a nice solution: http://www.tailorstore.com I can't explain how great it feels to wear a shirt in the exact right size. Details depend on you: if you want french cuffs, pick french cuffs and they'll do it. They have a lot of options for customisation.

Their Kickstarter offers fitted shirts. Worth looking at. http://www.kickstarter.com/projects/2067982551/fine-custom-s...

We're launching shirts too. French cuffs and all. We can already take orders but they're not on the site yet.