Emily,
Let those puppies free... and wearing stiletto heels is just fine, especially with a mini skirt and halter top after midnight in the bars. As for walking in the sand with them, one just needs to shift their weight on to their toes - check with JRHartley for the definitive technique.
In all seriousness, topless sunbathing has been common here for at least the last 10 years. It's mostly Europeans. I've yet to see a Dominican girl sunbathing topless on the beach here.
I wish I knew who wrote the original article & their agenda. I think their case for the depravity of Cabarete is extremely overstated. I think you'll agree, too, once you've visited.