I’ve had some issues with tailor’s bunions (small toe), and ended up cutting holes in my shoes. As long as I wear dark socks it doesn’t look that bad in my black shoes. I also found I could relieve pressure in that area by just slicing the shoe in the area that pressed against my foot there, and this was hardly noticeable. I made horizontal slices the whole length of the area, then on the strips I made vertical cuts half-way through the strips alternating top and bottom - this made the strip much more stretchy.
I’ve moved to wide shoes for everyday wear, and when I replace my cycling shoes I will be looking for wider shoes.