diff --git a/MEDICONNECT 2/src/components/ui/AvatarUpload.tsx b/MEDICONNECT 2/src/components/ui/AvatarUpload.tsx
index c154435f2..2d1e480f0 100644
--- a/MEDICONNECT 2/src/components/ui/AvatarUpload.tsx	
+++ b/MEDICONNECT 2/src/components/ui/AvatarUpload.tsx	
@@ -154,10 +154,10 @@ export function AvatarUpload({
           <button
             type="button"
             onClick={() => setShowMenu(!showMenu)}
-            className="absolute bottom-0 right-0 bg-white rounded-full p-2 shadow-lg hover:bg-gray-100 transition-colors border-2 border-white"
+            className="absolute bottom-0 right-0 bg-white rounded-full p-1.5 shadow-lg hover:bg-gray-100 transition-colors border-2 border-white"
             title="Editar avatar"
           >
-            <Camera className="w-4 h-4 text-gray-700" />
+            <Camera className="w-3 h-3 text-gray-700" />
           </button>
         )}
       </div>
diff --git a/MEDICONNECT 2/src/pages/AcompanhamentoPaciente.tsx b/MEDICONNECT 2/src/pages/AcompanhamentoPaciente.tsx
index 253b965f1..ac09b8fde 100644
--- a/MEDICONNECT 2/src/pages/AcompanhamentoPaciente.tsx	
+++ b/MEDICONNECT 2/src/pages/AcompanhamentoPaciente.tsx	
@@ -20,9 +20,10 @@ import { format } from "date-fns";
 import { ptBR } from "date-fns/locale";
 import { useNavigate } from "react-router-dom";
 import { useAuth } from "../hooks/useAuth";
-import { appointmentService, doctorService, reportService } from "../services";
+import { appointmentService, doctorService, reportService, profileService } from "../services";
 import type { Report } from "../services/reports/types";
 import AgendamentoConsulta from "../components/AgendamentoConsulta";
+import { Avatar } from "../components/ui/Avatar";
 
 interface Consulta {
   _id: string;
@@ -66,6 +67,7 @@ const AcompanhamentoPaciente: React.FC = () => {
   const [especialidadeFiltro, setEspecialidadeFiltro] = useState<string>("");
   const [laudos, setLaudos] = useState<Report[]>([]);
   const [loadingLaudos, setLoadingLaudos] = useState(false);
+  const [avatarUrl, setAvatarUrl] = useState<string | undefined>(undefined);
 
   const pacienteId = user?.id || "";
   const pacienteNome = user?.nome || "Paciente";
@@ -138,6 +140,22 @@ const AcompanhamentoPaciente: React.FC = () => {
     fetchConsultas();
   }, [fetchConsultas]);
 
+  // Carregar avatar do perfil
+  useEffect(() => {
+    const loadAvatar = async () => {
+      if (!pacienteId) return;
+      try {
+        const profile = await profileService.getById(pacienteId);
+        if (profile?.avatar_url) {
+          setAvatarUrl(profile.avatar_url);
+        }
+      } catch {
+        console.log("Perfil não encontrado, usando avatar padrão");
+      }
+    };
+    loadAvatar();
+  }, [pacienteId]);
+
   // Recarregar consultas quando mudar para a aba de consultas
   const fetchLaudos = useCallback(async () => {
     if (!pacienteId) return;
@@ -282,14 +300,12 @@ const AcompanhamentoPaciente: React.FC = () => {
       {/* Patient Profile */}
       <div className="p-6 border-b border-gray-200 dark:border-slate-700">
         <div className="flex items-center gap-3">
-          <div className="h-12 w-12 rounded-full bg-gradient-to-br from-blue-700 to-blue-400 flex items-center justify-center text-white font-semibold text-lg">
-            {pacienteNome
-              .split(" ")
-              .map((n) => n[0])
-              .join("")
-              .toUpperCase()
-              .slice(0, 2)}
-          </div>
+          <Avatar 
+            src={avatarUrl}
+            name={pacienteNome}
+            size="md"
+            color="blue"
+          />
           <div>
             <p className="font-medium text-gray-900 dark:text-white">
               {pacienteNome}
diff --git a/MEDICONNECT 2/src/services/avatars/avatarService.ts b/MEDICONNECT 2/src/services/avatars/avatarService.ts
index 049d05e69..5443ec927 100644
--- a/MEDICONNECT 2/src/services/avatars/avatarService.ts	
+++ b/MEDICONNECT 2/src/services/avatars/avatarService.ts	
@@ -2,7 +2,8 @@
  * Serviço de Avatars (Frontend)
  */
 
-import { apiClient } from "../api/client";
+import axios from "axios";
+import { API_CONFIG } from "../api/config";
 import type {
   UploadAvatarInput,
   UploadAvatarResponse,
@@ -11,58 +12,75 @@ import type {
 } from "./types";
 
 class AvatarService {
+  private readonly SUPABASE_URL = API_CONFIG.SUPABASE_URL;
+  private readonly STORAGE_URL = `${this.SUPABASE_URL}/storage/v1/object/avatars`;
+
   /**
    * Faz upload de avatar do usuário
    */
   async upload(data: UploadAvatarInput): Promise<UploadAvatarResponse> {
     try {
-      // Converte arquivo para base64
-      const fileData = await this.fileToBase64(data.file);
+      const token = localStorage.getItem(API_CONFIG.STORAGE_KEYS.ACCESS_TOKEN);
+      
+      // Determina a extensão do arquivo
+      const ext = data.file.name.split(".").pop()?.toLowerCase() || "jpg";
+      const path = `${data.userId}/avatar.${ext}`;
 
-      const response = await apiClient.post<UploadAvatarResponse>(
-        `/avatars-upload?userId=${data.userId}`,
-        {
-          fileData,
-          contentType: data.file.type,
-          fileName: data.file.name,
-        },
+      // Cria FormData para o upload
+      const formData = new FormData();
+      formData.append("file", data.file);
+
+      // Upload usando Supabase Storage API
+      await axios.post(
+        `${this.STORAGE_URL}/${path}`,
+        formData,
         {
           headers: {
-            "Content-Type": "application/json",
+            "Authorization": `Bearer ${token}`,
+            "Content-Type": "multipart/form-data",
           },
         }
       );
 
-      return response.data;
+      // Retorna a URL pública
+      const publicUrl = this.getPublicUrl({
+        userId: data.userId,
+        ext: ext as "jpg" | "png" | "webp",
+      });
+
+      return {
+        Key: publicUrl,
+      };
     } catch (error) {
       console.error("Erro ao fazer upload do avatar:", error);
       throw error;
     }
   }
 
-  /**
-   * Converte File para base64
-   */
-  private fileToBase64(file: File): Promise<string> {
-    return new Promise((resolve, reject) => {
-      const reader = new FileReader();
-      reader.onload = () => {
-        const result = reader.result as string;
-        // Remove o prefixo "data:image/...;base64,"
-        const base64 = result.split(",")[1];
-        resolve(base64);
-      };
-      reader.onerror = reject;
-      reader.readAsDataURL(file);
-    });
-  }
-
   /**
    * Remove avatar do usuário
    */
   async delete(data: DeleteAvatarInput): Promise<void> {
     try {
-      await apiClient.delete(`/avatars-delete?userId=${data.userId}`);
+      const token = localStorage.getItem(API_CONFIG.STORAGE_KEYS.ACCESS_TOKEN);
+      
+      // Tenta deletar todas as extensões possíveis
+      const extensions = ["jpg", "png", "webp"];
+      
+      for (const ext of extensions) {
+        try {
+          await axios.delete(
+            `${this.STORAGE_URL}/${data.userId}/avatar.${ext}`,
+            {
+              headers: {
+                "Authorization": `Bearer ${token}`,
+              },
+            }
+          );
+        } catch {
+          // Ignora erros se o arquivo não existir
+        }
+      }
     } catch (error) {
       console.error("Erro ao deletar avatar:", error);
       throw error;
@@ -74,8 +92,7 @@ class AvatarService {
    * Não precisa de autenticação pois é endpoint público
    */
   getPublicUrl(data: GetAvatarUrlInput): string {
-    const SUPABASE_URL = "https://yuanqfswhberkoevtmfr.supabase.co";
-    return `${SUPABASE_URL}/storage/v1/object/public/avatars/${data.userId}/avatar.${data.ext}`;
+    return `${this.STORAGE_URL}/${data.userId}/avatar.${data.ext}`;
   }
 }