Carrie Underwood's recent fall may have been a bit more serious than fans first thought. 
 
 In a letter to her fan club members obtained by E! News, the country music superstar says she received between 40 to 50 stitches on her face the night of the incident. 
 
 "Most of you know that I tripped and fell and broke my wrist in November. I'm still doing regular physical therapy for that, but all is coming along. There is also another part of the story that I haven't been ready to talk about since I have still been living it and there has been much uncertainty as to how things will end up," Carrie wrote. "It's crazy how a freak random accident can change your life." 
 
 The American Idol winner continued: "In addition to breaking my wrist, I somehow managed to injure my face as well. I'll spare you the gruesome details, but when I came out of surgery the night of my fall, the doctor told [my husband] Mike that he had put between 40 and 50 stitches in. Now, here we are 7 weeks later and, even though I've had the best people helping me, I'm still healing and not quite looking the same." 

 CLOSE Country star and CMA Awards co-host Carrie Underwood is recovering after falling outside her home. USA TODAY 
 
 Carrie Underwood told her fan club that the fall she took last November required "40 to 50" stitches on her face. (Photo: Evan Agostini/Invision/AP) 
 
 Carrie Underwood revealed to her fan club on Monday that she's still recovering from needing 40 to 50 stitches on her face after a November fall. 
 
 Underwood took a hard fall Nov. 10 on the steps outside her home near Nashville. She was treated for a broken wrist and cuts, forcing her to pull out of the Country Rising benefit concert two days later, but the singer had not revealed the extent of her injuries until now. 
 
 "In addition to breaking my wrist, I somehow managed to injure my face as well. I’ll spare you the gruesome details, but when I came out of surgery the night of my fall, the doctor told Mike (Fisher, Underwood's husband) that he had put between 40 and 50 stitches in," she wrote in a year-end message to her fans. 
 
 The singer said she is healing, but "not quite looking the same." 
 
 "When I am ready to get in front of a camera, I want you all to understand why I might look a bit different," she writes. "I’m hoping that, by then, the differences are minimal, but, again, I just don’t know how it’s all going to end up." 
 
 Underwood posted a photo of herself to Instagram last week with her face almost entirely covered by a scarf. 
 
 Contributing: Kim Willis 
 
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– Carrie Underwood says she injured more than her wrist in a fall outside her Nashville home in November and she will "look a bit different" when she gets in front of a camera again. In a letter to fans seen by E! News, the country star says she needed 40 to 50 stitches to her face after the accident. She hasn't been ready to talk about the facial injury until now, and "there has been much uncertainty as to how things will end up," she writes. "It's crazy how a freak random accident can change your life." The 34-year-old says she will spare fans the "gruesome details" of the Nov. 10 incident, when she tripped and fell on stairs outside the home. Underwood says she is healing but "not quite looking the same." "I want you all to understand why I might look a bit different" next time they see her face, she tells her fans. "I’m hoping that, by then, the differences are minimal, but, again, I just don’t know how it’s all going to end up." In an Instagram post last week, the singer's face was almost completely covered by a scarf, USA Today reports. In the letter to fans, she says she is "grateful that it wasn't much, much worse" and she will be back in the recording studio next week. "I've still got a ways to go in the recovery process, but it’s encouraging to see every day be a little better than the last," she writes.