Carrie Underwood breaks down onstage during an emotional first performance since her injury

The 35-year-old singer, songwriter and actress, Carrie Underwood, gave her first public performance since an accident in 2017 left her with facial injuries.

On April 15, 2018, Underwood performed in Las Vegas at the 53rd Academy of Country Music Awards. She gave an emotional rendition of her song, Cry Pretty.

As reported by People, it was a momentous occasion for the singer and marked her first public appearance since being hospitalized after a fall in November 2017.

Underwood slipped on the porch of her Nashville home. She broke her wrist and needed more than 40 stitches to her face, forcing her to stay out of the spotlight for a while.

According to My Fox8, the Jesus Take The Wheel star kept her fans informed and wrote on her website that her wrist is 90% healed and that her 'face has been healing pretty nicely.'

'When I am ready to get in front of a camera, I want you all to understand why I might look a bit different.'

Carrie Underwood, CarrieUnderwoodFM, April 10, 2018.

She used the time away from the limelight to make new music, adding that she had 'been in the studio writing and singing a ton.'

The creative outlet made her feel fulfilled and empowered, and she enjoyed co-producing her album with producer David Garcia. Her first single from the album is Cry Pretty.

Underwood explained that the 'title refers to when emotions take over, and you just can’t hold them back.' It was influenced by 'a lot of things' that happened to her during 2017.

She performed Cry Pretty at the ACM and received a standing ovation. After the emotional performance, during which Underwood teared up, she returned to the stage with Keith Urban.

They received an award for vocal event of the year for their collaboration on The Fighter. A tearful Underwood thanked Urban for the opportunity to perform together.