A reborn baby is a hand-made art doll created from a blank kit or a manufactured doll that has been transformed by an artist to resemble a human infant with as much realism as possible. The process of creating a reborn doll is referred to as reborning, and the doll artists are referred to as reborners. Reborn dolls are also known as lifelike dolls or reborn baby dolls. The appearance of the doll depends on the creator, but certain reborn artists allow customers to customize their doll, usually using a photograph to replicate a particular infant. Reborn dolls are usually vinyl dolls that have been transformed by adding many layers of paint, rooting their hair, adding glass eyes, eyelashes, and providing many other realistic details. The overwhelming majority of reborn customers are older women, and many women collect reborns as they would a non-reborn doll, while others purchase them to fill a void of a lost child and may treat reborns as living babies. Psychiatrist Gail Saltz with New York Presbyterian Hospital supports the use of reborns for people who do not want to make the commitment of having a real child, and also to comfort bereaved parents. Reborn dolls have also been used for years as stand-ins for real babies in movies and TV shows.