10+ Best Sims 4 Plastic Surgery Mods for Realistic Gameplay

Hey Guys!

I was recently watching an episode of Botched, and it got me wondering if I could bring some of those dramatic cosmetic procedures and plastic surgery storylines into my game. Naturally, I went down a rabbit hole looking for mods that could recreate the plastic surgery experience for my Sims.

Luckily, I found 10+ Sims 4 plastic surgery mods that add cosmetic procedures, consultations, recovery periods, and aesthetic enhancements to the base game. If you’re looking for the same, browse this list of must-have mods for 2026!

DISCLAIMER: This article is intended for Sims 4 gameplay and storytelling purposes only. It isn’t meant to promote or discourage cosmetic procedures or plastic surgery in real life.

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Best Sims 4 Plastic Surgery Mods at a Glance

Before we dive in, here’s a quick overview of the best Sims 4 plastic surgery mods for 2026:

Mod	Type	Best For
Cosmetic Procedures Mod V1.0	Gameplay Mod	Sims who want quick facial filler procedures through rabbit-hole interactions or beauty clinics.
Cosmetic Enhancements	Gameplay Mod	Players looking for a complete cosmetic surgery system with consultations, surgeon selection, surgery outcomes, and realistic recovery.
Dr. Vu’s Body Image Clinic	Gameplay Mod	Story-driven gameplay centered around body image, consultations, cosmetic surgery, and detailed aftercare.
Plastic Surgery_ED	Gameplay Mod	Quick cosmetic makeovers that send Sims directly to Create-a-Sim with post-surgery moodlets.
Who’s Your Surgeon? – The Plastic Vision Board Series (BBL Trait)	Storytelling Mod	Celebrity and influencer saves that focus on cosmetic surgery conversations, buffs, and a BBL trait.
My BBL Journey (Post Op)	Custom Content	Post-operative poses, compression garments, and hospital-themed storytelling after BBL surgery.
Sims 4 Plastic Surgeon Career	Career Mod	Players who want to roleplay as cosmetic or reconstructive surgeons with a fully developed career.
Surgery Recovery Collection	Custom Content	Realistic facial bandages, stitches, and recovery accessories for post-surgery screenshots and storytelling.
Botched Makeup	Custom Content	Before-and-after cosmetic surgery looks featuring bruising, swelling, and surgical markings.
Dentist & Plastic Surgery Offices	Community Lot	A functional medical clinic where Sims can visit for cosmetic procedures and dental makeovers.
Aesthetic Clinic	Community Lot	A modern cosmetic surgery clinic build that provides a realistic setting for consultations, treatments, and plastic surgery storytelling.

1. Cosmetic Procedures Mod V1.0

Download: Cosmetic Procedures Mod V1.0

The Cosmetic Procedures Mod V1.0 lets your Sims undergo facial filler treatments to refresh their appearance as they age. This Sims 4 plastic surgery mod introduces cosmetic enhancements into live gameplay, so beauty treatments feel like part of your Sim’s everyday life.

Your Sims can book facial filler procedures either from home using their phone as a rabbit-hole interaction or by visiting a local beauty clinic for a more immersive experience. It’s a great addition for players who enjoy realistic storytelling, celebrity gameplay, or fashion-focused saves.

Features

• Adds facial filler cosmetic procedures to gameplay.
• Let’s Sims book treatments through their phone.
• Includes rabbit-hole cosmetic procedure interactions.
• Allows Sims to visit a local beauty clinic for treatments.
• Integrates cosmetic enhancements into everyday gameplay.
• Designed to make aging and appearance changes feel more realistic.

Compatibility

• Compatible with script mods enabled in The Sims 4.
• Requires Lumpinou’s Mood Pack.
• Choose either the merged or unmerged version (do not install both).
• The creator recommends the unmerged version for better compatibility and fewer conflicts.
• Install the mod files directly in the Mods folder without subfolders.

NOTE: Before using this mod, please watch the creator’s walkthrough on YouTube to get a better idea of how it works.

2. Cosmetic Enhancements

Download: Cosmetic Enhancements

Cosmetic Enhancements by adeepindigo adds a fully developed plastic surgery system to the base game. This allows your Sims to schedule consultations, choose a cosmetic surgeon, undergo surgery, and recover afterward. With the Sims 4 plastic surgery mod installed, every procedure becomes part of their story with appointments, recovery time, and outcomes that feel much more realistic.

Teen Sims and older can book a cosmetic surgery consultation through their phone. If approved, they’ll choose between a cheap, expensive, or celebrity surgeon, with each option affecting the likelihood of a successful procedure. After surgery, you’ll edit your Sim in Create-a-Sim before they recover over several in-game days using prescribed pain medication.

Features

• Adds cosmetic surgery consultations for teens and older Sims.
• Let’s Sims choose between cheap, expensive, or celebrity surgeons.
• Includes successful and unsuccessful surgery outcomes.
• Features a 3–4 hour surgery event followed by a five-day recovery period.
• Provides post-operative pain medication during recovery.
• Prevents Sims from attending work while recovering.
• Gives Sims unique emotional reactions based on surgery outcomes and certain mental health conditions.
• Requires you to edit your Sim in Create-a-Sim after surgery for the visual results.

Compatibility

• Base game compatible.
• Requires the Core Library.
• Requires Lumpinou’s Mood Pack.
• Requires the latest General Pie Menus.
• TwistedMexi’s Always Testing and Always Full Edit Mode mods are highly recommended for seamless CAS editing after surgery.
• The medication animation uses an animation from Spooky Stuff, but the pack is optional. The animation will simply be absent if you don’t own it.

3. Dr. Vu’s Body Image Clinic

Download: Dr. Vu’s Body Image Clinic

Note: This mod is currently available on early access

Dr. Vu’s Body Image Clinic is a Sims 4 plastic surgery mod inspired by the iconic cosmetic surgeon from The Sims 2. The mod lets your Sim explore their insecurities, attend consultations, undergo surgery, and recover before revealing the final results.

This is one of my favorite Sims 4 cosmetic procedures mods. Your Sims can begin their journey through the Body Image Clinic app or by examining themselves in the mirror, where they’ll reflect on perceived flaws and body goals. From there, they’ll attend consultations, discuss their desired changes, receive aftercare supplies, and recover with realistic healing effects.

Features

• Adds a fully automated body image clinic system.
• Includes cosmetic surgery consultations and rabbit-hole procedures.
• Features body image and insecurity-based gameplay.
• Let’s Sims discuss their cosmetic goals before surgery.
• Includes realistic recovery with pain, numbness, medications, and healing effects.
• Adds bandages and compression garment gameplay.
• Includes recovery gift bags with aftercare supplies.
• Features clinic emails, pamphlets, and custom notifications.
• Let’s Sims check their surgical results through mirror interactions.
• Includes custom animations for body image interactions.

Compatibility

• Requires XML Injector.
• The Always CAS Full Edit Mode mod is highly recommended to edit Sims after surgery.
• Includes custom thumbnails.
• Updated for improved compatibility and stability.
• Currently available in Early Access.

4. Plastic Surgery_ED

Download: Plastic Surgery_ED

If you want a quick and straightforward way to undergo cosmetic surgery without a lengthy consultation or recovery process, get Plastic Surgery_ED. This Sims 4 plastic surgery mod adds a “Plastic Surgery” interaction to your menu. Once you click on the button, your Sim pays for the procedure and is taken directly to Create-a-Sim, where you can completely redesign their appearance.

To make the experience feel more realistic, the mod also includes temporary post-surgery moodlets that reflect the discomfort and excitement of getting a new look. It’s a great option for players who want simple cosmetic surgery gameplay without a complex medical system.

Features

• Adds a Plastic Surgery interaction to playable Sims.
• Charges §10,000 for each cosmetic procedure.
• Opens Create-a-Sim after the procedure so you can edit your Sim.
• Includes post-surgery Sore, Numb, and Happy moodlets.
• Combines realistic consequences with lighthearted gameplay.
• Ideal for quick makeovers and storytelling.

Compatibility

• Requires XML Injector.
• Compatible with playable Sims.
• Includes Create-a-Sim integration for appearance changes.

5. Who’s Your Surgeon? – The Plastic Vision Board Series (BBL Trait)

Download: Who’s Your Surgeon? – The Plastic Vision Board Series (BBL Trait)

Who’s Your Surgeon? is a storytelling mod that introduces cosmetic surgery-inspired social interactions and a BBL trait for Sims who’ve transformed their appearance. Rather than focusing on the surgery itself, this pack explores the conversations, confidence, and drama that come with cosmetic enhancements.

It’s a fun addition for players who enjoy influencer, celebrity, or luxury lifestyle gameplay. The highlight of the Sims 4 plastic surgery mod is the “Has BBL” trait, which gives your Sims a cosmetic surgery backstory while unlocking new buffs, notifications, and social interactions.

Features

• Adds the “Has BBL” trait.
• Includes five new cosmetic surgery-themed social interactions.
• Features story-driven notifications.
• Adds buffs inspired by confidence, recovery, and cosmetic procedure experiences.
• Enhances celebrity, influencer, and luxury lifestyle storytelling.
• Planned future updates include Botox, fillers, breast augmentation, and other cosmetic procedures.

Compatibility

• Cleared for the latest Sims 4 game patch (as of June 2, 2026).
• Compatible with PC, Mac, and console versions matching the supported game patch.
• Designed primarily for storytelling gameplay.
• Additional cosmetic procedure content is planned in future updates.

RELATED POST: 39+ Must-Have Sims 4 Traits for Your Sim’s Personality

6. My BBL Journey (Post Op)

Download: My BBL Journey (Post Op)

My BBL Journey (Post Op) is a custom content collection with post-operative clothing, poses, and medical-themed objects that recreate the recovery stage after a Brazilian Butt Lift (BBL). This is undoubtedly one of my favorite Sims 4 plastic surgery mods because it makes the entire process realistic. After surgery, you can dress your Sim in the appropriate clothing, such as fajas and other compression garments, for screenshots and storytelling.

The collection includes compression garments, a surgery table edit, and themed poses that work well for machinimas, social media screenshots, and hospital roleplay. Pairing it with the creator’s pre-op collection creates a complete cosmetic surgery storyline from consultation to recovery.

Features

• Includes two post-op faja (compression garment) outfits.
• Adds a BBL surgery table mesh edit.
• Includes a wearable faja pose accessory.
• Comes with two post-surgery pose packs.
• Designed for realistic cosmetic surgery storytelling and screenshots.
• Complements the matching pre-op collection.

Compatibility

• This is custom content (CC), not a gameplay mod.
• Requires the creator’s matching pre-op collection for the full experience.
• Syringe accessories are downloaded separately.
• The hospital bed is a separate download.
• The mod is ideal for pose-based storytelling, machinimas, and screenshots.

7. Sims 4 Plastic Surgeon Career

Download: Sims 4 Plastic Surgeon Career

The Sims 4 Plastic Surgeon Career lets your Sims pursue a medical profession specializing in cosmetic and reconstructive surgery. Starting as a resident, they’ll climb the career ladder before choosing between aesthetic surgery, which focuses on appearance-enhancing procedures, or reconstructive surgery, which helps patients recover from injuries, burns, and congenital conditions.

Unlike cosmetic surgery gameplay mods, this career focuses on your Sim’s professional life. It includes custom interactions, promotion objectives, buffs, and chance cards. It’s an excellent choice for players who enjoy realistic medical careers and storytelling.

Features

• Adds a fully playable Plastic Surgeon career.
• Includes 10 career levels.
• Let’s Sims specialize in Aesthetic Surgery or Reconstructive Surgery.
• Features 35 custom chance cards.
• Includes custom buffs throughout the career.
• Adds 39 custom career interactions.
• Provides unique promotion objectives for every level.
• Covers cosmetic procedures, facial surgery, body contouring, reconstructive surgery, burn treatment, and trauma reconstruction.
• Includes promotion bonuses and increasing daily salaries.

Compatibility

• Base game compatible.
• Includes custom interactions accessed through the computer.
• Features two branching career paths.
• Suitable for realistic medical and healthcare gameplay.

RELATED POST: 31+ Absolute Best Sims 4 Career Mods (Free to Download Sims 4 Job Mods)

8. Surgery Recovery Collection

Download: Surgery Recovery Collection

The Surgery Recovery Collection is a custom content pack with realistic post-operative accessories that are perfect for screenshots, storytelling, and medical-themed saves. The collection focuses on nose surgery recovery with detailed nose masks, stitches, bandages, and facial wraps. Mix and match these accessories to create different stages of the healing process.

I like pairing this cc pack with Sims 4 plastic surgery mods to make Sims look like they’re healing after facial cosmetic procedures.

Features

• Includes two nose job recovery masks with realistic stitches.
• Features both fresh and healed surgery variations.
• Adds wearable nose bandages.
• Includes full-face recovery bandages.
• Offers multiple swatches for different healing stages.
• Ideal for cosmetic surgery storytelling and screenshots.

Compatibility

• Custom content (CC), not a gameplay mod.
• Nose masks are located in the Skin Details category.
• Nose bandages are found in the Tattoos category.
• Includes multiple swatches for each recovery item.
• Compatible with the base game, Create-a-Sim.

9. Botched Makeup

Download: Botched Makeup

Botched Makeup is a makeup CC set that recreates the bruising, swelling, stitches, and surgical markings often seen after cosmetic procedures. While it doesn’t add new gameplay, it’s perfect for storytelling, machinimas, Halloween looks, or showing your Sim’s recovery after plastic surgery.

The collection includes both pre-op surgical markings and dramatic post-op bruising, so you can easily capture realistic before-and-after screenshots or build an immersive cosmetic surgery storyline. Pair this cc pack with your Sims 4 plastic surgery mods for the full cosmetic experience.

Features

• Includes before and after cosmetic surgery makeup.
• Comes with five swatches.
• Features realistic bruising, swelling, and healing effects.
• Adds facial surgical markings for pre-op scenes.
• Perfect for plastic surgery storytelling and screenshots.
• Doubles as Halloween or horror-themed makeup.

Compatibility

• Custom content (CC), not a gameplay mod.
• Compatible with the base game.

RELATED POST: 50+ Best Sims 4 CC Makeup 2026 Picks for Stunning Looks (Updated)

10. Dentist & Plastic Surgery Offices

Download: Dentist & Plastic Surgery Offices

Dentist & Plastic Surgery Offices is a custom-built community lot that gives your Sims a realistic place to visit for cosmetic procedures. The build includes separate dental and plastic surgery clinics – the Super Smile Dentistry and Dr. Dubrow Plastic Surgery Correction.

The highlight of the lot is its functional consultation and surgery chairs, which take your Sim directly into Create-a-Sim so you can makeover their appearance after their appointment. It’s an excellent companion to cosmetic surgery gameplay mods that don’t include dedicated clinic builds.

Features

• Includes a fully furnished dentist’s office.
• Features a dedicated plastic surgery clinic.
• Comes with functional consultation and surgery chairs.
• Opens Create-a-Sim through the interactive chairs.
• Perfect for cosmetic surgery, dental, and medical storytelling.
• Adds a realistic clinic setting for screenshots and roleplay.

Compatibility

• Place the lot with bb.moveobjects on.
• Enable bb.showhiddenobjects before placing the lot.
• Enable bb.showliveeditobjects before placing the lot.
• Placed as a Generic lot by default, but you can change the lot type to suit your gameplay.

11. Aesthetic Clinic

Download: Aesthetic Clinic

NOTE: This mod is currently locked behind a paywall, so I couldn’t get much information on what it does or how it works, but I still wanted to include it on the list.

The Aesthetic Clinic is a beautifully designed medical build that recreates the look and feel of a modern cosmetic surgery practice. Based on the available preview images, the clinic includes a stylish reception area, consultation spaces, and fully equipped treatment rooms that are perfect for plastic surgery roleplay and storytelling.

Features

• A modern cosmetic surgery clinic build.
• Includes a welcoming reception and waiting area.
• Features detailed consultation and treatment rooms.
• Decorated with realistic medical equipment and aesthetic clinic décor.
• Perfect for plastic surgery roleplay and storytelling.
• Works well alongside Sims 4 plastic surgery mods.

Compatibility

• Custom lot for The Sims 4.
• Suitable for medical, cosmetic surgery, and healthcare-themed gameplay.
• Currently available only through the creator’s paywalled download.

Frequently Asked Questions

Are Sims 4 plastic surgery mods safe to use?

Yes, as long as you download them from reputable creators and keep them updated after major Sims 4 patches. Always read the installation instructions and check for any required dependencies.

Do plastic surgery mods require any expansion packs?

Most are base game compatible, but some require additional mods such as XML Injector, Lumpinou’s Mood Pack, or Core Library. Check each creator’s download page before installing.

Can my Sim change their appearance without using Create-a-Sim?

Some mods include consultations, surgeries, and recovery gameplay, but most still require you to edit your Sim in Create-a-Sim to apply the physical changes.

Which plastic surgery mod is the most realistic?

Cosmetic Enhancements and Dr. Vu’s Body Image Clinic offer the most immersive experience. They feature consultations, surgeon choices, recovery periods, medications, and post-operative moodlets.

Can teenagers get cosmetic surgery in The Sims 4?

It depends on the mod. Some, like Cosmetic Enhancements, allow teen Sims to schedule consultations and procedures, while others are limited to young adults and older.

Do these mods include recovery after surgery?

Several do. Mods like Cosmetic Enhancements and Dr. Vu’s Body Image Clinic include recovery periods with pain medication, moodlets, bandages, and healing effects. You can also pair them with recovery-themed CC for even more realism.

Can I combine multiple plastic surgery mods?

Yes, but make sure they don’t modify the same gameplay systems. Please read each creator’s compatibility notes to help prevent conflicts.

Are there plastic surgery mods for storytelling instead of gameplay?

Absolutely. CC packs like Botched Makeup, Surgery Recovery Collection, and My BBL Journey (Post Op) are designed for screenshots, machinimas, and realistic storytelling rather than adding new gameplay mechanics.

Can I build my own cosmetic surgery clinic?

Yes. You can download lots like Dentist & Plastic Surgery Offices or Aesthetic Clinic, then customize them with your favorite medical furniture and cosmetic surgery mods.

Will plastic surgery mods break after Sims 4 updates?

Script mods can stop working after major game patches, so it’s a good idea to remove them before updating your game and downloading the latest versions once creators confirm compatibility.

Conclusion

That wraps up our collection of the best Sims 4 plastic surgery mods! I hope these mods help you create realistic consultations, procedures, and recovery scenes in the base game.

As creators continue to expand cosmetic surgery gameplay with new procedures, traits, and storytelling features, I’ll keep updating this list with the latest and greatest finds. Until then, download your favorites, give your Sims the ultimate glow-up, and have fun creating dramatic before-and-after transformations!