Lexus GS 450h 2008 Owner's Manual page 475

Low beam (horizontal adjustment)
Turn adjustment bolt A so that the red line on the gauge is in the middle
of the "0" mark (within the blue lines to either side of the gauge).
High beam (vertical and horizontal adjustment)
Turn each adjustment bolt in either direction so that the bubble in
within the 2 center lines (vertical), and the red line on the gauge is in
the middle of the "0" mark (within the blue lines to either side of the
gauge) (horizontal).
If you feel that there is a large deviation, have the headlight aim
adjusted at a Lexus dealer.
4-3. Do-it-yourself maintenance
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