A method (100) of dispensing an ophthalmic lens for a wearer is disclosed. The method (100) includes measuring (104) the relative location of, and/or relationship between, selected anatomical features of a wearer's head or face to obtain one or more measurement values and processing (106) the one or more measurement values to design and/or select an ophthalmic lens having a shape that depends on the measured values. The ophthalmic lens element is then dispensed to the wearer. A dispensing system (200) is also disclosed.