Desperate model, extremely small (4-6)
I believe the answer is:
last-minute
'desperate' is the definition.
(last-minute efforts might be desperate)
'model extremely small' is the wordplay.
'model' becomes 'last' (model used by a shoemaker).
'extremely small' becomes 'minute' (I've seen this before).
'last'+'minute'='LAST-MINUTE'
(Other definitions for last-minute that I've seen before include "Eleventh hour" , "Eleventh-hour" , "very late" , "Done at the latest possible moment" , "Done at the final moment" .)