The pinching, lengthening, and shortening involved with alterations isn't usually overly complicated or expensive. This is especially true for basic alterations, including taking up hems on pants or skirts, letting out a waistband, repairing seams, and shortening sleeves.
A Self employed tailor is an experienced dressmaker who has a good knowledge of sewing and dressmaking, and who wants to create clothes to FIT one's own personal shape. Pattern making is an art. It is the art of manipulating and shaping a flat piece of paper/fabric to conform to one or more curves of the human figure.
Fashion design is the art of applying design, aesthetics, clothing construction and natural beauty to clothing and its accessories. ... "A fashion designer creates clothing, including dresses, suits, pants, and skirts, and accessories like shoes and handbags, for consumers.