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

At times I'll age up children in CAS to see if they become strange looking adults. If I edit them as children it drastically changes their features upon aging up. After fixing anything I feel needs fixing I age them back down to children and they'll usually look alright.

Children don't tend to look too bad, but fsr my cute kids age up like abominations. They need some help.