Or you could have a SMB that has an oral inflate valve and use your mouth.One of the issues with a second stage on a necklace is that it makes it very difficult or impossible to inflate the smb by pressing the purge. when it is tightly around your neck. And if you do accomplish it, it is probably not that good to have the smb that close to your rig.
Of course you could take the necklace off in an emergency, but that is also a potential negative.