in this part of the trailer the image is black and white showing death making the audience uneasy and feeling horrified. The image is of and distorted face which has been stitched back together. It looks like a photograph stuck into a book. This image around the outside has a sepia tint. This could be a 'double close-up' being a close up of a close up of a face.
again this image is in black and white and shows someone drawing over someone's face, making you feel like something is wrong and ask question about why they are doing this. This may become a important further into the film and may become more clear why he is doing it.
during the opening sequence the sound or music makes the audience feel uneasy and maybe slightly scared to what is going on. The sounds used sound like electronic sounds, static, ghostly sounds and a drum beat. All together with the image make me feel uncomfortable.