Choosing her clothing and arranging it in unconventional ways, he created a bold off-the-shoulder dress, which provided a dramatic contrast to her famously pale skin. Sargent had grown up fascinated by his surgeon father’s anatomical illustrations, particularly of bandaging, and it is thought that this influenced his choice to paint his subject in this tight-fitting gown.
Sargent worked on the portrait for more than a year, struggling to find the right pose. He never employed assistants, handling everything himself. Finally, he opted to have Gautreau facing the viewer, with her head turned to the side and one arm supported on a table.
Mme Gautreau had regularly discussed the painting with her acquaintances, despite never having seen it in finished form, and she firmly believed it would be a triumph. She changed her mind when the picture was finally revealed, on the day of the exhibition opening. First exhibited under the title Portrait of Mme ***, the shockingly low-cut, form-fitting dress caused an immediate scandal. The painting was certainly daringly sensual – challenging the accepted standards of portraiture of the day.