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Just like how air inflates a balloon to make it bigger, fame can inflate a person’s ego, creating an over-confident, hubris-filled, and sometimes obnoxious person. Note the “balloon”/“inflated”/“blew” (as in “blew up a balloon”) wordplay
This could also be how his [alter] Ego Slim Shady blew up/inflated
Additionally, Em gained large amounts of weight (‘ballooned’) as a result of his drug addiction in the late 2000s. By his own admission, his weight gain and addiction was a result of the pressures of his fame and the huge ego that came with it.