All eyes were on seven-time Grammy winner Carrie Underwood at the Academy of Country Music Awards (ACM) on Sunday (April 15) as she gave her first live performance, six months after receiving 40 to 50 stitches on her face.

Underwood, the American Idol season 4 (2005) winner, had previously revealed she broke her wrist and sustained facial injuries after a fall outside her home in November 2017.

“It’s crazy how a freak random accident can change your life,” she posted on her fan site in January this year. “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 40-50 stitches in.”

“And when I am ready to get in front of a camera, I want you all to understand why I might look a bit different. 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.”

Since the fall, the 35-year-old superstar had kept her face partially hidden on social media. She posted her first selfie a few days ago, unveiling her face in full. Underwood had not made any public appearances until the ACM show.

Carrie Underwood

Carrie Underwood and Keith Urban picked up Vocal Event Of The Year for their collaboration on ‘The Fighter.’ Photo: Reuters

Underwood took to the stage, sporting glittery eye make-up that look like falling tears and a shimmery number, as she performed her new single, Cry Pretty.

“The title refers to when emotions take over and you just can’t hold them back,” she talked about the inspiration behind the emotional ballad in an update on her official fansite. “It really speaks to a lot of things that have happened in the past year and I hope when you hear it, you can relate those feelings to those times in your life.”

Underwood received a standing ovation after the performance. She also won Vocal Event Of The Year for her collaboration with Keith Urban on The Fighter at the award show.

Here are some Twitter reactions to Underwood’s comeback performance: