Discussion: Plastic surgery for premades

I know that this tends to be a somewhat controversial topic for fans of premade sims, and I don't normally make adjustments to their faces (unless I had a good story reason for doing so, such as a character getting actual plastic surgery), but I'm considering making a couple of exceptions. Dora Ottomas is one of them.

I aged Dora back to adult for a project I'm working on and since I had her in Bodyshop, I thought I'd examine her wonky facial structure in more detail. I have no problem with Dora's "ugly" as such, but I do have a problem with the way her face is way shorter than the dimensions of the rest of the templates and thus does not line up properly, she has a super long neck, etc. My one rule for sim creation is never to shift the face or the eyes up or down (the mouth and nose can move a little, within reason), as this results in a sim with features that will not play nice in any genetic combination with other faces. The Ottomas family is a perfect example of this, as are some of the other latter day EP sims.

(From left to right: unaltered Dora as an adult, altered adult Dora, and Face Two)

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What are your thoughts on sim surgery? Do you consider these sorts of adjustments acceptable? Feel free to share your thoughts below, but please keep your discussion with each other respectful. I know many simmers can get pretty passionate about this issue, so let's be mindful of that.