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Another type of Hair Replacement involves scalp reduction and balloon inflation. With scalp reduction, the patient's bald spots are removed and the areas with healthy hair are stretched over to fill the gap. Balloon inflation involves inserting a saline balloon underneath the part of the scalp with healthy hair growth. This is done in order to stretch the healthy scalp, thus providing more skin to cover the gap left by scalp reduction. Balloon Inflation and Scalp Reduction usually gives quicker results that grafting.In order to be considered kosher, Sheitels need to meet many strict requirements, some of which can be fairly difficult to ascertain, as exemplified in 2005 by the controversy that erupted over rumors concerning human hair from India. The fear was that these hairs had previously been used for the worship of idols. Such associations would render the Sheitels unclean and thus not fit for the observant Orthodox, as there is an old dictum that no benefit can come of anything used in idolatry.