Carrie Underwood may be unveiling a new face in 2018. The country singer just revealed in a post to her fan club that she needed stitches in her face after falling on the steps of her house back in Novemberโ€”and that sheโ€™s โ€œnot quite looking the same.โ€

โ€œIn addition to breaking my wrist, I somehow managed to injure my face as well,โ€ she wrote, People reported. โ€œIโ€™ll spare you the gruesome details, but when I came out of surgery the night of my fall, the doctor told [Underwoodโ€™s husband] Mike that he had put between 40 and 50 stitches in.โ€

That might sound like a lot, but itโ€™s actually tough to know how serious an injury is simply by the number of stitches it requires, says Daniel Y. Maman, MD, a board-certified plastic surgeon.