The authors examined the association between frontal and lateral facial attractiveness and identified anatomical features that may influence discordance between frontal and lateral facial beauty. They studied paired frontal and lateral facial synthetic images of 240 white women by using an internet-based focus group on an attractiveness Likert scale of 1 to 10, with 1 being least attractive and 10 being most attractive. This study identified a strong linear association between frontal and lateral facial attractiveness. They suggested specific facial features responsible for the discordance between frontal and lateral facial attractiveness scores. These features include asymmetrical features, long lower third, high hairline, protruding chin, thin upper lip, and dorsal nasal hump. Surgically altering these facial landmarks may increase facial harmony, symmetry, and attractiveness. Knowledge of such landmarks may also have great utility when evaluating the influence of surgical procedures that may produce significant changes in the frontal or lateral view and vice versa. Additional studies are necessary to determine whether correction of these landmarks may increase facial harmony and attractiveness.