Sometimes, the best treatment for this is a surgically created hole in the front of the neck called a stoma
Food and Drug Administration approved the over-the-counter sale of nicotine patches in 1996, they were available only by prescription

State Any tobacco product containing, made of, or derived from tobacco or that contains nicotine that is intended for human consumption or is likely to be consumed, or hemp product intended for smoking whether smoked, heated, chewed, dissolved, inhaled, absorbed, or ingested by other means, including a cigarette, a heated tobacco product, a cigar, pipe tobacco, chewing tobacco, snuff, snus, nicotine pouches, liquid nicotine, nicotine vapor product or other alternative nicotine product, any electronic smoking device and any substances that may be aerosolized or vaporized by such device, whether or not the substance contains nicotine, that can be used to deliver, aerosolized or vaporized substance to the person inhaling from the device, including, but not limited to e-cigarette, e-cigar, e-pipe, vape pen or e-hookah, including any component, part, or accessory, whether or not sold separately or whether or not any of these contain tobacco or nicotine, including, but not limited to, filters, rolling papers, blunt or hemp wraps and pipes

This stimulation triggers melanin production and distribution into surrounding cells, progressively darkening the tissue
How easy is it to open