I'm 5'9 and 135. I would recommend that you find another skinny friend with similar shirt size and split an order with Custom Pilot Shirts (minimum order is 6 shirts). You definitely won't be satisfied with A Cut Above if you are similar to my size. Van Hausen fitted was the closest I came to finding an adequate out-of-the-package shirt, and it still needed significant alterations. Good luck!

Also, if you skinny types need pants that don't require alterations, check out Calvin Klein body fit pants. I bought a pair of these in black and they match my uniform blazer almost flawlessly. If my blazer weren't 6 years old and slightly faded, it would be a perfect match. These pants fit well and look sharp.