Carrie Underwood says stitches on her face made it 'physically impossible' to record new album

Carrie Underwood is opening up about the impact her face injury had on her new album.

The 35-year-old country singer spoke to Vulture about how most of the injury's effects were more mental than physical.

"I felt like the differences were more in my head than they were in anybody else’s that would listen to the things I was doing," she says of getting back in the studio to record Cry Pretty, her latest album that dropped Sept. 14. "I had wanted to be in the studio sooner than I was, actually recording these songs, but I had stitches inside my mouth, outside my mouth. It was physically impossible."

Underwood calls her first trip to the studio post-fall "a mind game," and admits to having an internal monologue full of questions and doubts.

"'Do I sound the same? Is my diction the same? Does my mouth move the same as it did before?'” she recalls questioning. "I would sing something and then look at [my co-producer, David Garcia] and be like, 'Did that all come out clearly?' My m’s and b’s and p’s were kind of the issue. And he was like, 'I thought it sounded great.'”

"Things change just as you get older; your muscles change," she adds. "I kind of expect I’m not always going to sound like I’m 22 coming off of American Idol. Hopefully I get better."

The injury to her face is just one of the setbacks Underwood faced over the last couple of years. The "Before He Cheats" singer also suffered two miscarriages with her husband, Mike Fisher, before announcing her pregnancy back in August. The pain from those experiences led to more honest and personal lyrics on her latest album.

"It would be completely inevitable," she says of her emotions infiltrating her songs. "I’d have a terrible day at the doctor’s office and then come into a writing session and be like, 'I’m sorry guys. I might suck today. I just got some bad news.'" 

"Things aren’t literal, but I look at a song like 'Low,' and that was my year last year," she shares. "It was not about a person leaving or anything like that. I listen to that song now, and there’s a good chance I’ll cry, because it was just so personal."

"I kinda needed [music] at the time, just to have something to stay focused on that wasn’t my personal life," she adds.

The personal aspects of her album led her to take "more ownership over what I was doing in my artistry," what she calls "a leap of faith," and credits with being "such a growing experience... as a vocalist."

"It was just trying to move the artistry forward and not do the same things that I’ve always done," Underwood says. "Like, I literally hold out notes until I start seeing stars. I will pass out some day on stage. It hasn’t happened yet, knock on wood. But it probably is really only a matter of time, because I will push myself until it hurts, which I love [to do]."

"It was just such a great artistic step forward, being able to feel a song and deliver it in a different way," she says.

Back in September, a source told ET how Underwood got through one of "the most challenging years of her life."

"She had big plans for herself and every step of the way she faced roadblocks," the source said at the time. "... Carrie is a great mother and an amazing performer and wanted 2017 to be her year. She made some big changes in management but dealing with her career, her miscarriages, her fall and losing part of her team was almost more than she could handle."

"She has come a long way and we are all so proud of her," the source added. "She is incredibly strong. She has an incredibly supportive family and leaned on them and her closest friends to get through it all."

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Carrie Underwood and Mike Fisher together
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Carrie Underwood and Mike Fisher together
NASHVILLE, TN - JUNE 06: Mike Fisher (L) and Carrie Underwood attend the 2018 CMT Music Awards at Bridgestone Arena on June 6, 2018 in Nashville, Tennessee. (Photo by Jeff Kravitz/FilmMagic)
NASHVILLE, TN - JUNE 06: Mike Fisher (L) and Carrie Underwood attend the 2018 CMT Music Awards at Bridgestone Arena on June 6, 2018 in Nashville, Tennessee. (Photo by Jeff Kravitz/FilmMagic)
NASHVILLE, TN - NOVEMBER 08: NHL player Mike Fisher and singer-songwriter Carrie Underwood attend the 51st annual CMA Awards at the Bridgestone Arena on November 8, 2017 in Nashville, Tennessee. (Photo by Jason Davis/FilmMagic)
BRENTWOOD, TN - OCTOBER 24: Singer-songwriter Carrie Underwood (L) and NHL Player Mike Fisher (R) attend Nashville Shines for Haiti benefiting Sean Penn's J/P Haitian relief organization featuring Tim McGraw hosted and underwritten by Johnathon Arndt and Newman Arndt at the Arndt Estate on October 24, 2017 in Brentwood, Tennessee. (Photo by Rick Diamond/Getty Images for J/P Haitian Relief Organization)
NASHVILLE, TN - JUNE 08: Nashville Predators forward Mike Fisher and Carrie Underwood attend the 2016 CMT Music awards at the Bridgestone Arena on June 8, 2016 in Nashville, Tennessee. (Photo by Taylor Hill/FilmMagic)
NASHVILLE, TN - JUNE 10: Singer Carrie Underwood and NHL player Mike Fisher attends the 2015 CMT Music awards at the Bridgestone Arena on June 10, 2015 in Nashville, Tennessee. (Photo by Jeff Kravitz/FilmMagic)
NASHVILLE, TN - JUNE 10: Singer Carrie Underwood (L) and NHL player Mike Fisher attend the 2015 CMT Music awards at the Bridgestone Arena on June 10, 2015 in Nashville, Tennessee. (Photo by Kevin Mazur/WireImage)
NASHVILLE, TN - SEPTEMBER 09: Mike Fisher and Carrie Underwood attend the 8th Annual ACM Honors at Ryman Auditorium on September 9, 2014 in Nashville, Tennessee. (Photo by Rick Diamond/Getty Images for ACM)
LAS VEGAS, NV - MAY 18: (EXCLUSIVE COVERAGE) Singer Carrie Underwood (R) and hockey player Mike Fisher attend the 2014 Billboard Music Awards at the MGM Grand Garden Arena on May 18, 2014 in Las Vegas, Nevada. (Photo by Kevin Mazur/Billboard Awards 2014/WireImage)
NASHVILLE, TN - JUNE 04: Mike Fisher and Carrie Underwood attend the 2014 CMT Music awards at the Bridgestone Arena on June 4, 2014 in Nashville, Tennessee. (Photo by Larry Busacca/WireImage)
Carrie Underwood and Mike Fisher attend the 'TIME 100 Gala, TIME's 100 Most Influential People In The World' at the Frederick P Rose Hall at Lincoln Center in New York City. � LAN (Photo by Lars Niki/Corbis via Getty Images)
NASHVILLE, TN - JUNE 05: NHL player Mike Fisher (L) and singer Carrie Underwood attend the 2013 CMT Music awards at the Bridgestone Arena on June 5, 2013 in Nashville, Tennessee. (Photo by Kevin Mazur/WireImage)
FRANKLIN, TN - DECEMBER 03: Carrie Underwood and Mike Fisher attend the CMT Artist of the Year Awards at The Factory At Franklin on December 3, 2012 in Franklin, Tennessee. (Photo by Ed Rode/FilmMagic)
LOS ANGELES, CA - NOVEMBER 18: Singer Carrie Underwood (R) and husband Mike Fisher arrive at the 40th Anniversary American Music Awards at Nokia Theatre L.A. Live on November 18, 2012 in Los Angeles, California. (Photo by Gregg DeGuire/WireImage)
LOS ANGELES, CA - NOVEMBER 18: Singer Carrie Underwood (R) and NHL player Mike Fisher at the 40th American Music Awards held at Nokia Theatre L.A. Live on November 18, 2012 in Los Angeles, California. (Photo by Kevin Mazur/AMA2012/WireImage)
NASHVILLE, TN - NOVEMBER 01: Recording artist Carrie Underwood and husband Mike Fisher attend the 46th annual CMA Awards at the Bridgestone Arena on November 1, 2012 in Nashville, Tennessee. (Photo by Jon Kopaloff/FilmMagic)
NASHVILLE, TN - JUNE 06: Mike Fisher and Carrie Underwood attend the 2012 CMT Music awards at the Bridgestone Arena on June 6, 2012 in Nashville, Tennessee. (Photo by Taylor Hill/FilmMagic)
NASHVILLE, TN - JUNE 06: Mike Fisher and Carrie Underwood attend the 2012 CMT Music awards at the Bridgestone Arena on June 6, 2012 in Nashville, Tennessee. (Photo by Michael Loccisano/WireImage)
LOS ANGELES, CA - MAY 23: Mike Fisher and singer Carrie Underwood arrive at Fox's 'American Idol 2012' Finale Results Show at Nokia Theatre L.A. Live on May 23, 2012 in Los Angeles, California. (Photo by Alberto E. Rodriguez/Getty Images)
LOS ANGELES, CA - MAY 23: Singer Carrie Underwood and professional ice hockey player Mike Fisher arrive at 'American Idol' Season 11 Grand Finale Show at Nokia Theatre L.A. Live on May 23, 2012 in Los Angeles, California. (Photo by Steve Granitz/WireImage)
LAS VEGAS, NV - MAY 20: NHL Player Mike Fisher and Singer Carrie Underwood arrive at the 2012 Billboard Music Awards held at the MGM Grand Garden Arena on May 20, 2012 in Las Vegas, Nevada. (Photo by Jon Kopaloff/FilmMagic)
NASHVILLE, TN - JUNE 09: Mike Fisher and Carrie Underwood attend the 2010 CMT Music Awards at the Bridgestone Arena on June 9, 2010 in Nashville, Tennessee. (Photo by Jeff Kravitz/FilmMagic)
NASHVILLE, TN - JUNE 09: Mike Fisher and Carrie Underwood attends the 2010 CMT Music Awards at the Bridgestone Arena on June 9, 2010 in Nashville, Tennessee. (Photo by Kevin Mazur/WireImage)
LOS ANGELES, CA - JANUARY 31: NHL player Mike Fisher and singer Carrie Underwood arrive at the 52nd Annual GRAMMY Awards held at Staples Center on January 31, 2010 in Los Angeles, California. (Photo by Jeff Vespa/WireImage)
Singer Carrie Underwood and hockey Player Mike Fisher onstage during the 52nd Annual GRAMMY Awards - Salute To Icons Honoring Doug Morris held at The Beverly Hilton Hotel on January 30, 2010 in Beverly Hills, California. (Photo by Lester Cohen/WireImage)
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