Unlike Fragmen, her previous studio album where she said it is more personal, the title SimetriSiti was chosen by Siti because it represents the equal (symmetrical, in a sense) treatment given to each song in the album, from choosing the composers and songs, the way the lyrics were sung and up to the recording production in general.
The design and cover for the album were said to be inspired by "Marilyn Monroe-esque 1950's fashion sense".The standard cover of the album features her and a group of her fans acting as paparazzi. According to Siti, the Hollywood retro album cover was chosen because it represents her 21 years of journey as an entertainer. She genuinely feels that her career has been supported by her fans, photographers, make-up artists, fashion designers, and journalists, and, "It is appropriate for me to visually portray them through SimetriSiti's album cover design."The exclusive version of album, available only for pre-order on Lazada Malaysia, features a different cover, complete with printed signature of hers. Due to its exclusivity, the pre-order for the album that was supposed to last for four days (5 until 9 May), ended in only 20 minutes.
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