An information handling system peripheral camera analyzes captured visual images to detect a face and analyzes the face to determine an upright orientation. Based upon the face upright orientation, the camera defines a visual image orientation to communicate the visual image from the peripheral camera to an information handling system so that the face is communicated in an upright orientation for use in a video conference, such as with an indication of a landscape or portrait image orientation. In one embodiment, an information handling system can perform the face upright orientation analysis and command a camera orientation to the camera so that visual images of the camera are communicated in alignment with the face upright orientation.