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 do really small, not that noticeable changes (such as slightly lifting the eyelids). I also sometimes change the way they look to make them look more like one of their parents.