I think I still get a touch of sausage leg with them, but that might be because I haven't actually been riding much this year...
I'm sure I would if I went down a size. The ones I'm in fit nicely, but not super compressive. If I dropped 5-10#s I'd likely want to go down to a M. I could probably get away with a M right now...but the price would be mild sausage legs.