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Carrie Underwood 'Was Terrified of People Seeing the Scars' from Facial Injury at ACMs: Source

People logo People 4/16/2018 Stephanie Petit
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Carrie Underwood was nervous to return to the spotlight after suffering an injury that caused her to receive more than 40 stitches on her face.

Although the 35-year-old singer stole the show Sunday at the 53rd Academy of Country Music Awards in Las Vegas with an emotional performance her new single “Cry Pretty,” a Nashville source told PEOPLE that Underwood worried about the reaction she’d get.

Carrie Underwood posing for a picture © Jason Merritt/ACMA2018/Getty Images for ACM “She ended up skipping the red carpet because she didn’t want to be bombarded with questions about the accident,” the insider said. “It’s the most shaken anyone has ever seen her … this whole ordeal. She was terrified of people seeing the scars.”

The source added, “Her hair and makeup team must’ve been under so much pressure.”

A rep for Underwood did not immediately return PEOPLE’s request for comment.

Carrie Underwood standing on a stage © Ethan Miller/Getty Many fans remarked on social media that they didn’t notice a difference in the country singer’s looks.

“Am I the only one that didn’t notice a change in Carrie Underwood’s face?” wrote one Twitter user.

Another added, “I see absolutely nothing wrong with Carrie Underwood’s face. Gorgeous!”

Underwood, who wore a silver dress and tear-shaped glitter makeup below her eyes, received a standing ovation that lasted nearly a minute following her performance.

a group of people standing around each other © Ethan Miller/Getty Image When she returned to the stage to accept the award for vocal event of the year with Keith Urban for their duet “The Fighter” a few moments later, she was clearly overwhelmed.

“Thank you for having me,” Underwood told her collaborator through tears. “I’m still shaking right now.” 

Missed these guys. #bandrehearsals

A post shared by Carrie Underwood (@carrieunderwood) on Apr 6, 2018 at 8:04am PDT

Had a great rehearsal for the @acmawards ! Can’t wait until tomorrow night! #CryPretty #ACMAwards

A post shared by Carrie Underwood (@carrieunderwood) on Apr 14, 2018 at 6:23pm PDT

Shortly after cohosting the CMAs in November, the American Idol winner broke her wrist during a fall from her front stairs. In January, she revealed that in the same accident, she suffered an injury to her face, which resulted in more than 40 stitches.

Although she was on the mend but “not quite looking the same,” Underwood wrote in a letter to her fan club in January that she was “grateful that it wasn’t much, much worse.”

“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 said.

Following the accident, Underwood has kept a low-profile on social media but slowly revealed more of her face in photos over the last month.

The 53rd Academy of Country Music Awards were broadcast live from Las Vegas on CBS starting at 8 p.m. ET on Sunday.

Related slideshow: The best moments from the ACMs

THE SHOW'S SOMBER TRIBUTE TO LAS VEGAS SHOOTING VICTIMS: Jason Aldean, Miranda Lambert, Luke Bryan, Maren Morris and Thomas Rhett took the stage to kick off the ACMs in Las Vegas, the same city where — in October — a shooter opened fire from the 32nd floor of the Mandalay Bay Hotel, killing 58 and injuring an estimated 851 people during Aldean’s set on the festival’s main stage. “Tonight we wanted to open the show with something that shows what it’s like for our country music family to be back in Las Vegas for the first time since Oct. 1,” Aldean said, opening the show. “We thought about starting with a song, but it’s a lot bigger than a single song,” Aldean added. “It’s everything you’ll hear tonight — the songs that bring us to our feet, make you wanna pull someone close, or just live in the moment. Nothing can take that away from us.” From Reba's Hilarious Jokes to Carrie's Memorable Performance: The Best Moments from the ACM Awards

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