Do you give your Sim children plastic surgery if they don't look pretty enough for you?
I know some players like their Sims to be perfect and I've seen even children been given bigger eyes, poutier lips and their bodies made skinnier etc. I've even seen this done on 100 baby challenge ki...
I usually only do small edits on my Sims children, generally when it's a feature that bothers me. Sometimes Sim kids just look awkward and grow up to be pretty, so I don't edit them a lot.