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

my sims have thin necks and smoll faces but for some reason the system keeps giving them thicc necks and huge heads anyways so I often change that just so they fit in with my other sims and look less freaky

also I often add jaw since they seem to miss that too

more than anything i just try to make them look more like their parents since game fails at it

not to make them super models tho