Hi Steve,
How about using a spotlight for portraiture? Just light their face and not the baldness nor wattle. Here's a great shot by Albert Watson.
http://www.google.com/imgres?imgurl=...w=1584&bih=938
This might point you in the right direction. There's also the work of a famous Hollywood photographer George Hurell that shoots with spotlights too.
http://www.google.com/imgres?imgurl=...ed=0CDIQ9QEwBA
Best,
Don
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