Do you give your Sim children plastic surgery if they don't look pretty enough for you?

I want to say never, but I did it once when my male sim looked like he was pregnant. All the clothes looked weird on him. So I tweaked his tummy area a bit. I could have probably picked the second option, but usually I get used to their weird features and on the face a lot can be done with just glasses or beard.

Edit: He was a teen. I understood the question as children in general, sims born in game. I see no point in editing children (lifestage) as they change so much when growing up.