my dress shirts are made with a slightly bigger cuffs because it rest about 1/2" below my wrist. So it is slightly bigger to fit the bottom of my palm. If I scrunch my hand small enough, it can actually pass through my cuffs. There is no problem with bunching up of the sleeve around the cuffs. Falls and rest nicely around my wrist area. So never posed much of a problem using double-sided chain cufflinks if I first slot the outside one first into the cuff.