Have you ever had failed plastic surgery?
And your sims came out looking slightly different after corrective surgery? I had an accident with Benjamin Schmidt plastic surgery, after corrective accident he looks slightly different mostly aro...
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I had one sim who's surgery failed multiple times and it was probably because he was a teenager (yeah I know the game had to send me a message somehow!) The "corrective surgery" is heavily misleading because it just sets your sim's facial sliders to zero. Probably why Benjamin looks different though how noticeable it is probably depends on the sim, some sims just look really generic by default.
