Carrie Underwood was worried people would think she ''electively'' changed her face.

The 'Before He Cheats' hitmaker underwent surgery earlier this year when she suffered a nasty fall on the steps of her home in Nashville in late 2017 - resulting in 40 stitches in her face and a broken wrist - and she has admitted she felt forced to speak out about the accident to avoid being accused of having plastic surgery for cosmetic reasons.

Speaking on 'The Ellen DeGeneres Show', she said: ''I feel like I do [look different] a little bit. My biggest worry at the time was like, if I say nothing then later on... I feel like people are gonna say, 'What has she done to herself electively?' And it definitely was not a choice. I feel close to myself. I feel pretty close to normal.''

Carrie - who spent months after her operation hiding her face from the world - tripped down a few steps while walking her pet pooches late at night but it wasn't until she went to the hospital and had stitches that she realised how serious her fall was.

She explained: ''I feel like any time anything happens, its adrenaline or something, you don't really know until you take a second to assess...''

However, although it was a tough year for her in 2017, the 35-year-old singer has plenty to look forward to over the next coming months as she and her husband Mike Fisher - who already have son Isaiah, three, together - are expecting their second child.

But she has recently revealed that her journey to carry another baby has been long and heartbreaking as she experienced three miscarriages between 2017 and 2018.

She said last weekend: ''I had always been afraid to be angry. Because we are so blessed. And my son, Isaiah, is the sweetest thing. And he's the best thing in the world. And I'm like, 'If we can never have any other kids, that's okay, because he's amazing.' And I have this amazing life. Like, really, what can I complain about? I can't. I have an incredible husband, incredible friends, an incredible job, an incredible kid. Can I be mad? No. [But after the miscarriages,] I got mad. [I thought], 'Why on Earth do I keep getting pregnant if I can't have a kid?' Like, what is this? Shut the door. Like, do something. Either shut the door or let me have a kid.''