I assume you are talking about SmartWatch 1, not SmartWatch 2? For SW1 you need to call showBitmap() to draw your layout on the watch. For a complete sample code see the ControlSample project in the /samples folder of the Sony Add-on SDK.
// Create background bitmap for animation.
mBackground = Bitmap.createBitmap(width, height, BITMAP_CONFIG);
// Set default density to avoid scaling.
mBackground.setDensity(DisplayMetrics.DENSITY_DEFAULT);
LinearLayout root = new LinearLayout(mContext);
root.setLayoutParams(new LayoutParams(width, height));
LinearLayout sampleLayout = (LinearLayout)LinearLayout.inflate(mContext,
R.layout.sample_control, root);
((TextView)sampleLayout.findViewById(R.id.sample_control_text)).setText(packageName);
sampleLayout.measure(width, height);
sampleLayout.layout(0, 0, sampleLayout.getMeasuredWidth(),
sampleLayout.getMeasuredHeight());
Canvas canvas = new Canvas(mBackground);
sampleLayout.draw(canvas);
showBitmap(mBackground);