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When you have your bespoke suit made to measure, your measurements are taken and then translated onto a paper pattern.

Patterns are the difference between bespoke suits and made-to-measure suits

For bespoke suits, this pattern is made per customer based on individual sizes and wearing preferences. Think about space to move around, so you can create the ideal and desired fit. Made-to-measure works with a standard pattern that is adjusted. You will then not have the ideal fit because you have to work with fixed margins and you will lose the balance between the sizes.