Is this a sacral fat pad and is lipo my only option for removal? (Photo)

Liposuction of the area with fat transfer to the areas around that area in the buttocks and hips will likely produce the best result.

Dear Sociable557745,
it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You really need liposuction under local to get rid of the tailbone fat pad. There really is no down time and you are back to work right away with a dramatic improvement.

Diet may help improve it, but liposuction can remove it. I would suggest meeting with a board certified plastic surgeon and discussing your options.

Diet and exercise will not change your fat distribution. The only way to remove this is with Liposuction.

It looks pretty straightforward and should not be all that difficult.

This could easily be done as an office space procedure while awake.

Recovery is not all that challenging. I suggest having multiple in person consultations with local board-certified plastic surgeons in your area.

Don’t try to treat this with anything other than Liposuction such as cool sculpting etc.

The type of Liposuction or the name of the equipment is a relevant. Just find a good provider in your area.

Best,

Mats Hagstrom MD