shannonjpowerSure the contact surface area on one side would be better, I'm not doubting that. However the metal plate will still need to be attached to the fins somehow. This is where you are also still going to have minimal contact!
let me try to help you understand.

placing those heatsinks flatside down will pull 100% of the heat away from the thermal pad, having complete contact and transfer all of it to the fins.
placing them flatside up with only the fins touching will not have nearly the amount of contact (which you know) BUT not nearly the amount of heat will be dissipated efficiently; more like ~10% of the heat.
so even though the fins touch the thermals pads or are connected to the base plate the same, they are be used more efficiently; its conduction.