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Custom In-Ear Monitors
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Have one pair of Sensaphonics sleeves for Shure ie3's from a decade ago. I got them because playing drums live was both hard on my ears and even harder because I'd have to crank up a wedge monitor to unsafe levels to be able to hear the band over my drums. Regular IEMs were okay but wouldn't stay seated well enough when sweaty/moving, and would take too long to put in and out reliably enough to get on stage. Losing your monitor mix mid-song is a nightmare.
After reality set in (i.e., finishing school and getting a reliably paying job), the custom sleeves see much less frequent use. Airline travel mainly. And then I lost one sleeve while walking around an F1 track (I thought it'd be nice to use them as earplugs and listen to the race broadcast). I'm contemplating getting a replacement soon. I think my molds should still be on file at Sensaphonics, and now I have the means of getting a multi-driver set rather than just sleeves. For me, sound quality with the Shures was good but not mind blowing. It was accurate enough for what I needed. But a multi-driver CIEM is very tempting now.
Ear shape can vary year to year, it's generally recommended to send a new set of impressions in.