In high school days, the commercial photographer had a wooden fixed focus camera and a chain that he pulled out to each person's nose just before the exposure. That was early / mid 1970's in northern Ontario. If I recall, he wound the film on, implying, to me, 120 or 220.
You might want to look at some depth of field calculations - [for example] a 135mm lens at f/4.5 has a very shallow D.O.F., especially in close. You may find what you want at f/8. [I'm no expert in 4x5, so do your own thing.]