A good friend of mine who is a great skier and was big time professional ski coach just got a pair done. He has very wide feet (about 110mm wide at their widest) and he has bone spurs on both from abrasions from so many years of wearing boots that were too tight. He was skiing in some Nordica Dobie Pros (98 last) that had huge work done to them so that he could ski them. He loved the boot, but he was still in some discomfort while skiing. He went to a good boot fitter he knew who has the Fischer Vacuum system. After they molded the shell he still needed some punching but the final result is the best fitting and most comfortable boot he has ever been in.
My view is that if you can fit in a 98 lasted boot or smaller, I don't think you need the Vacuum boots. Getting a boot that fits right and then having good work done on them by a good fitter is all anyone really needs (although this combo can be hard to find). For someone that needs a stiff boot in a wide last these are the only real option (I think Salomon has some modlable shells as well but not sure what flex they come in)
The fischer boots have what they call the Soma stance which is abducted feet. From all that I have read I beleive these will be OK for people that are bowlegged but more problematic for those that are knock kneed.
I aslo think if you get these boots make sure you start very tight. If you can mold and expand the shell you would never wnat to start off with something that wasn't tigher than glove like. Assuming one does this, most likley you will end up with a good fit.
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