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

I usually wait until they are teens to see if they grow into normal looking features.

I always leave my sim children as they naturally are, but maybe if there was something about them that really bothered me I would change it when they became young adults, but never as children.

I play sims to escape reality. So I figured they mind as well all be cute. *shrugs*?

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.

I don't exactly do plastic surgery, but I do add features like freckles/moles/braces and whatnot if I don't like the way they look

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.

I like variety in my game, and I find the DNA mixing to be one of the most exciting things in the game. When a new sim is born I'm in awe, constantly searching to learn that sim's personality, and sometimes the looks help... Even if only 1 out of 10 sims turn out quite nice looking, the joy is more than 10 times bigger than if I should adjust them all :)

I generally don't for born-in-game sims, so far. For premade children/toddlers I absolutely do if they have weird features.

And I made a genetic daughter for Brent and Brant in CAS and made the mistake of making her as a child without checking her teen outcome... when she aged up she had a very masculine face so I edited that real quick! That's what happens with no female genes in the mix I guess.

Nope, never. Sometimes I don't even bother changing anything, including the clothes they grew up in! Now if something is glitched or the result of a bug or something, I wouldn't hesitate to fix that. Had to change a born in-game toddler's gender once - had 6 kids, all girls, changed the 6th to a boy to get my heir. Sure, could have kept going, but really?! Had enough lol.

When I change things, it's usually superficial stuff; hair/eyebrows, makeup, accessories, clothes, etc.

Not kids. I do occasionally tweak things once they age up to teen though. Angle eyebrows differently, make their eyes or chin slightly bigger, change eye color... little things like that. I try not to change them drastically from how they were born though.