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Shoes can be stretched to make them more comfortable to wear. Some materials stretch better than others. Talk you your local cobbler for advice.
Toe pieces can be repaired with rubber or leather depending on your needs.
Because of their composition, stilettos are more prone to breakage compared to other shoes. When that happens, you can go to a shoe repair shop and have them reattach your stiletto heel blocks. This usually involves adding screws and perhaps some glue to help the repair.
Leather sock linings can be replaced if yours are already worn out. You can buy the linings so you can replace them by yourself or you can also bring your shoes to a repair shop for a sturdier result.
If you ever damage your Dr Martens you can get replacements for the damaged parts for a cost.