I am in my early 30s but I have to wear orthotics all the time. Unfortunately, most of the shoes designed for orthotics are either athletic shoes or old granny shoes. So where does that leave those of us who need to wear dresses? Aravon has been my answerthese shoes have fantastic support and Ive gotten so many compliments on them already. I have wide insteps but narrow heels so these fit the bill for me with a disguised Velcro strap to hold my foot in while at the same time looking stylish. The leather is a little stiff, but it is allowing me to stretch it in a spot where one of my feet is slightly wider than the other. I would definitely recommend this shoe.