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

Only if they age up looking nothing like their parents, with no chin and creepy, overly large eyes.

I almost always ended up with good looking children, and their children after them.

yes, not because i need them all to be cute but rather i need them to look like their parents and sometimes they will come out chinless even though their parents have perfectly fine chins, or with puny noses even though most of my sims have big noses. ??‍♀️

Depends what you mean by plastic surgery. I have changed the eye colour and hair styles and possible minor features such as eye brows at most. However this is only for the sims that have descended from my simself in my main save. Other sims I don’t mind changing as they are background sims.

I generally never mess with kid Sims' looks because it would ruin the surprise of how they'll grow up, and I want to see what their teen and adult selves will look like without my meddling. However, I voted "other" because there is one thing I will change that isn't looks, but it drives me bonkers when it happens: There is a certain voice that sometimes happens in kid sims, that I cannot S T A N D hearing. It makes me want to crawl out of my own skin. It's this extremely sassy, unpleasant voice and the kids affected talk in it all the time, not just when being sassy or teasing or whatnot. I couldn't be around a kid who sounded snide and jeering every second of every day.

So I change that if it happens, to alleviate the growing urge to end them.

About looks though, I had a Sim whose looks were negatively affected because he bore a genetic resemblance to his Reaper father that played out weirdly: he seemed to have inherited the coloration his dad must have had for whatever he would have been if he hadn't been a reaper (because the kid was light-skinned and ginger-haired, definitely didn't get that from the Goth side), but he got the strange, stylized face all Reapers have under their hoods if you change their clothes in CAS. So he grew up with the over-large, round eyes, delicate rounded features...kind of a baby-face with too-large eyes effect. It was strange, and impressive, and different. But not what anyone could call attractive. But I left it, because it reflected his unique heritage, and anyone can be stereotypically attractive, but not just anyone can be a Reaper/Normal Sim hybrid offspring.

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

I don't count changing hairstyles or make up (for teens and up) as plastic surgery. If so, I never do major body editing on kids. Townie adults, etc, are fair game. Most common would be editing weight and body types.

An adult child might get worked on if I really think it is needed and can't be fixed easily. It just depends.

I don't touch them usually until they age up and something is out of proportion.

I usually have an idea of how I want my sims to look, so I will play with genetics in CAS until I'm happy with the result. I will only change the body shape and hair and eye colour if needed as I like to keep the genetics (unless it is an adopted baby - then anything goes). If I want to play the baby stage I then use MCCC to copy/paste the sim I made in CAS onto the baby once it ages up to a toddler.

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