I'm a 19" neck with a 36" waist. I can't find anyone that makes a quality 19" neck slim fit shirt. The BB slim fits are great for my body at 18.5", but my brain loses blood with the tight neck. The 19" BB regular fit are great on my neck, but I can go swimming in the waist line and look like I'm wearing a parachute shirt. I'm trying to figure out if I should just go Bespoke, or if I'm better off buying a 19" neck and getting it tailored, or an 18.5" slim fit and getting the neck extended (if that's even possible, I doubt it). Any advice on buying something that exists and getting it tailored, vs getting something custom from the get-go is appreciated. I'm not sure which is the more efficient way to go. Thanks!