Stiletto heels are particularly associated with the image of the femme fatale. They are often considered to be a seductive bit http://www.heelsstiletto.com of clothing, and often feature in in favor culture.
Stiletto heels are often used in trampling fetishism where in the event that a dominant partner would trample on a submissive partner with the intention of hurting him/her for a sexual pleasure received by both the dominant and the submissive.