Thank you for your question and for providing the photographs. A breast reduction almost always includes a significant lift. You would benefit from this. Typically, bra cup sizes change every 100-150cc. So if 200 grams is removed, you will probably be one cup size smaller, possibly 2 cup sizes. Whether or not you would think that is small is subjective. Sometimes in the office I show a patient a 200cc implant and a 400cc one (grams = cc). That way you can tell what that amount of volume is and it makes it easier to visualize the postop size. Keep in mind that the more weight that is removed from the breast, usually the better long-term result one gets in terms of maintaining the lift. Breasts that need a lift are prone to sagging again, although you should not sag to the same degree you have now. In cases such as yours, patient with significant sagging, I typically use Galaflex to try and maintain the result longterm. Hope this helps.