Should I get more tear trough treatment? Look worse after filler. (Photos)

You have under eye fat bags along with tear trough hollowness. I need to evaluate your eyes in consultation but you may do better with transconjunctival lower blepharoplasty with fat bags repositioning. See following video.  I recently published a manuscript discussing performing lower blepharoplasty on patients with prior under eye filler injection. You can find the manuscript on the link below too.

Although difficult to assess from a photo, it appears that you have developed swelling after the injection. Swelling can occur with all fillers as water is drawn into the molecular gels, but this effect is typical when injectors use standard fillers in this delicate area.  There are specialised fillers that should be used, but unfortunately most doctors will use the same fillers for the whole face. Infact, different fillers should be used for different areas. If more highly cohesive fillers are used (as one would in the cheeks, nasolabial folds etc, this result is not uncommon. I would have this discussion about filler choice with your doctor, and would  not recommend more filler. Best of luck with your future treatments.

your left eye does attract some attention- without before photos and a good examination, it's difficult to tell if you need more or if this is too much- when you had the treatment is also a factor as some swelling can occur afterwards. 
Hope this helps and God Bless!
Dr. Robb

Your cheeks are quite flat.  You have lost a great deal of volume from your cheeks.  Most likely from losing weight.  I would recommend injecting your cheeks with Voluma or Restylane Lyft.  In addition, you most likely need a lower lid blepharoplasty.  However, I would not neglect the loss of volume you now have in your cheeks.  Best of luck! 

It's important to know how long ago you had the treatment and which filler was used. If the treatment was recent, we may still be looking at normal post procedure swelling which can take up to two weeks to resolve. My preferred filler for the undereyes is Restylane and I inject it using a microcannula to minimize swelling and bruising. I do not recommend that Juvederm be used under the eyes because of its propensity to attract water molecules which results in prolonged swelling.