**Design Breakdown:**

1. **Central Composition**: Focus on a large, exaggerated smile as the primary element. 
   
2. **Color Palette**: Use a bold combination of dark red for the smile outline, and off-white or light gray for the teeth to create contrast.

3. **Teeth Style**: Modify the teeth to appear more cartoonish, with fewer details but maintaining a jagged shape to enhance the menacing effect.

4. **Background**: Change the background to a plain, soft pastel color to allow the smile to stand out without distractions.

5. **Details and Texture**: Remove blood elements and instead add subtle shading or highlights to the smile to create dimension and depth.

6. **Outline Variation**: Introduce a thicker, more curvy outline around the smile for a playful yet sinister look.

7. **Overall Mood**: Aim for a slightly whimsical but eerie aesthetic rather than overtly grotesque. 

8. **Accessories**: Add abstract shapes or patterns around the smile to enrich the visual context without referencing any brands.

By implementing these changes, the image will retain its striking nature while offering a fresh perspective.