Once I switched to free diving suits, I never looked back. Warmer, more comfortable, generally use higher quality neoprene than scuba suits, but prices are all over the map. I used them for 4 years while guiding dives daily in Hawaii.
For a lot of brands you can order the top and bottom in separate sizes or thicknesses depending on need. Most of them these days are open cell on the inside, so basically lined in tiny suction cups. Probably not what you want, but possibly easier to sanitize than a regular nylon-in suit, certainly easier than a fluffy inside suit. There are also coated open cell suits that have a layer of ceramic type material on the inside. That might be a decent in-between option. The coating does eventually wear off in high movement areas (armpits, elbows, back of the knee and neck). I'm currently using a suit from Waihanna that is ceramic coated.
I did find this one that is a smooth skin reversible one:
Evolve Hybrid Reversible Wetsuit
Oceaner might do full custom suits that you could order smooth skin in and nylon out.
Long ago I had a JMJ custom suit that was skin in as well. Looking at their website now, I can't tell if they still do that or not.
You do need to lube these suits to get them on. That turns a lot of people off, but I find them way easier to get on than a standard scuba suit, and I'm generally faster even with needing to spray the inside.