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A good high-heel shoe is barely a shoe at all. It is a precarious perch for walking, with little more than a curving insole below the foot, a band or two of leather or fabric around the toes, and perhaps a thin strap behind the heel. If the high heel is also a mule, then the foot is even less secured, reducing the shoe to a mere ornament at the bottom of the leg—the dot, if you will, below an emphatic fashion exclamation mark.

Though usually tapered and sleek, high heels can range from wide and chunky to narrow and ...

Some designers lavish the heels of their shoes with attention anyway. Todd Oldham has covered some of his wide, gold-leaf heels with gaudy costume jewels. Stuart Weitzman prefers rhinestones. And Roger Vivier, who many credit with inventing the modern stiletto heel, has created high heels that resemble pyramids, snails, and rose branches with protruding thorns.

The stiletto is the most notorious type of high heel, so named for its spiky, lethal-looking shape. Stilettos typically come to a point of less than half an inch in diameter, creating a staggering 1,500 pounds-per-square inch of pressure on the ground when worn by even a 100-pound woman. That compares rather unfavorably to the 75 psi created by the footfalls of a 6,000-pound elephant.

Regardless of their shape, high heels are prized and praised for a multitude of reasons. For designers like Manolo Blahnik whose background includes architecture, high heels are the closest they get to sculpture. For women, high heels force flattering definition in their leg and butt muscles, and there is even evidence that high heels have a positive affect on the pelvis.

The cost for all this toning is often unbearable foot pain, crippling knee problems, and a general inability to be fleet-footed, which is why many women view high-heel shoes—from no-nonsense pumps to slinky sandals—with disdain and even contempt. The marabou mule is the most frequent object of their ire. Named for the dyed stork feathers that create “poofs” of color on the shoe’s vamp, the marabou is the classic, Hollywood-sex-kitten bedroom wear, suggesting, say their critics, subservience rather than style.

Still, the high heel has many more fans than foes. In addition to Vivier, Blahnik, and others, some of the most famous high heels (or infamous, depending on how you look at it) have been created by designers such as André Perugia, Salvatore Ferragamo, Terry de Havilland, Vivienne Westwood, Maud Frizon, Karl Lagerfeld, Bernard Figueroa, Christian Louboutin, and Jimmy Choo. Even fashion houses as established as Chanel and Dior have also made sure that they have high heels for their well-heeled customers, be they professional women in power suits or aspiring pop stars.

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