Do my tear troughs seem overfilled? (photos)

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Dear patient, 
I could see a depression more in the lower part of the eyelid continuing with the cheek. What I recommend putting fillers in the cheek area anterior below the tear trough to improve cosmetically this area.

Hi there,It appears that will need volume mid face / cheek.  Speak with your injector about the volume loss in other areas for complete natural restoration.Best of luck...