Wearing high heels has been a consistent component in fashion trends for women in a variety of endeavors ranging from business to social settings. Research into the design of height-adjustable stilleto-type high heels is a response to shifting demands in the fashion industry. Consumer demand was not only focused on aesthetic appeal but also on comfort. Conventional high heels, especially the stiletto type, often had limitations in terms of long-term comfort due to their fixed height. This led to the need for innovative designs that allowed users to customize heel height according to their preference and comfort. This study presented the steps taken to develop adjustable high heels and analyzed how pressure was distributed on the sole of the foot. The pressure distribution on the soles of the feet while wearing adjustable high heels was measured using the FSR 400 device available at a shoe orthotics facility. The study aimed to develop an adjustable high-heel design that enhanced both fashion and user comfort through integrated design and pressure analysis. The manufacture of an adjustable high heel shoe model in this study was successfully completed by implementing an unloading system, where the heel featured two height options, 3 cm and 5 cm, and a screw-based locking mechanism. The subject of this research was was a 20-year-old female Mechanical Engineering student at Diponegoro University, with a shoe size of 39, a height of 159 cm, and a body weight of 45 kg. Test results revealed that heel pressure decreased as the heel height increased.