All the balloons are double-sided the same picture is on the front and back. All my balloons are brand new deluxe helium quality from the manufacturer. You can also air fill it and tape to the wall or attach balloon sticks. If using air insert a straw carefully into the self-sealing opening and blow then remove and it will seal. Just be sure to use the correct inflator. A black nozzle tip will be used for latex balloons and a gold narrow tip should be used for mylar balloons. If you use a larger latex black inflation nozzle on helium balloons you risk over inflation of the balloon and harming the self-sealing properties and this may cause early deflation.