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 November—and that she’s “not quite looking the same.”

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

That might sound like a lot, but it’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.