As stated in the first part of this publication standardized clinical photographs are essential for planning, documentation and demonstration of surgical procedures in cranio-maxillo-facial surgery (Ettorre et al., 2006). This article expands the previously defined standards in facial digital photography. Additional picture sets for special topics are introduced and some common mistakes are discussed. Guidance for the prevention of pitfalls is provided and the photographic principles are reviewed. Finally the authors give recommendations for dealing with structured data storage and protection of medical photographs. The use of asset management systems such as Cumulus and Portfolio is introduced and recommended.