Just a wild idea, since skinny ties have long been out as the next hot men's accessory.
Why not do it in snakeskin, in hissing red no less?
To be used to smothering effect.
Images from The Fashionisto:
Nathan Jolliffe by Thom Kerr for The Fashionisto
Garrett Neff by Stefano Moro for >bmm March 2011