All of the balloons are brand new some may not be in original packaging but they are new. The balloons are as pictured. All the balloons are double sided the same picture is on the front and back. All my balloons are Brand New deluxe helium quality. The balloons are not filled you can fill a helium tank. 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.