Ellen Pompeo has captivated audiences for nearly two decades as the face of “Grey’s Anatomy.” Over the years, her evolving appearance has sparked polarized reactions, with fans both praising her natural aging and speculating on her transformation. Take a look at how Pompeo has changed over time.

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Ellen Pompeo is a name that has become synonymous with excellence in television, thanks to her long-running role as Dr. Meredith Grey on “Grey’s Anatomy.” The show first aired in 2005 and catapulted Pompeo to fame.

As the face of the series for nearly two decades, Pompeo’s portrayal of the dedicated and resilient surgeon has garnered her a loyal fan base, making her a household name.

In 2023, after stepping back from her regular role on “Grey’s Anatomy” in its 19th season, Pompeo thrilled fans when she made a much-anticipated return for the 20th season.

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The hit medical drama, known for its emotional storylines and compelling characters, was renewed for a landmark 20th season in March 2023, and Pompeo’s appearance in the promotional teasers set social media abuzz.

Having spent over 18 years in the spotlight, Pompeo has experienced the unique pressures of maintaining a public image in Hollywood, especially as she ages.

The actress has always been open about the challenges of growing older in an industry known for valuing youth above all. “At 33, I was wise enough to know my clock was already ticking in Hollywood,” the star remarked.

In interviews, she’s spoken candidly about how her decision to stay with “Grey’s Anatomy” was largely influenced by her awareness of ageism in the entertainment world. Pompeo, who landed her breakthrough role in her mid-20s, shared that had she been younger, she might have left the show sooner to pursue other opportunities.

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Ellen Pompeo at the screening of "The Good Girl" on August 7, 2002, in Los Angeles, California. | Source: Getty Images

Ellen Pompeo at the screening of “The Good Girl” on August 7, 2002, in Los Angeles, California. | Source: Getty Images

However, as she faced her 40s, she recognized the difficulties of finding substantial roles for older women in Hollywood and chose to continue her journey with “Grey’s Anatomy.” Looking back, it’s a decision she doesn’t regret.

However, while Pompeo has enjoyed career stability, aging on-screen hasn’t always been easy. “Watching myself age on TV is miserable. To be honest, it’s the toughest part of my job,” the actress admitted.

Ellen Pompeo at the "Moonlight Mile" screening on September 9 during The Toronto International Film Festival 2002 in Canada. | Source: Getty Images

Ellen Pompeo at the “Moonlight Mile” screening on September 9 during The Toronto International Film Festival 2002 in Canada. | Source: Getty Images

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Despite these challenges, Pompeo embraced the natural aging process, insisting that focusing too much on physical appearance can be harmful. “The older you get, the more you realize life isn’t about your looks. Everyone ages and it’s okay,” she said.

In 2016, Pompeo partnered with the beauty brand Philosophy to challenge societal norms around aging. Through the brand’s #CoolAger campaign, the actress helped to dispel the stigma associated with growing older, promoting a positive and empowering message.

Ellen Pompeo during Hermes Party for "Happy Hand" by Hilton McConnico on September 19, 2002, in Beverly Hills, California. | Source: Getty Images

Ellen Pompeo during Hermes Party for “Happy Hand” by Hilton McConnico on September 19, 2002, in Beverly Hills, California. | Source: Getty Images

In one of her Instagram posts for the campaign, Pompeo shared her thoughts on the subject, writing, “Everyone talks about the bad side of aging. I believe growing older is a privilege; it doesn’t have to be negative. Join me and @lovephilosophy and let’s change the conversation to be cool.”

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Beyond her partnership with Philosophy, Pompeo has consistently advocated for a more holistic approach to beauty. During an interview, the actress revealed her favorite beauty discovery of the year — frequency facials.

Ellen Pompeo at the premiere of "Catch Me If You Can" on December 16, 2002, in Los Angeles, California. | Source: Getty Images

Ellen Pompeo at the premiere of “Catch Me If You Can” on December 16, 2002, in Los Angeles, California. | Source: Getty Images

Known for avoiding fillers and Botox, Pompeo credits her youthful appearance to regular facials and plenty of hydration. She explained, “I feel like the frequency facial makes a difference in my skin — it makes it tighter.”

When asked for advice for women who struggle with beauty standards, Pompeo urged them to focus on their inner qualities. “Beauty comes from what kind of person you are and what your contribution is to the world,” she said.

Ellen Pompeo photographed on September 9, 2003. | Source: Getty Images

Ellen Pompeo photographed on September 9, 2003. | Source: Getty Images

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“Confident women are the most beautiful, and confidence comes from other things — how kind you are or how you help the world — not from what you look like,” the actress continued.

As Pompeo continues to embrace the aging process with grace, take a look at the actress’s transformation over the years, as she has gracefully navigated the changes that come with being a public figure for nearly two decades.

Ellen Pompeo at the world premiere of "House of Sand and Fog" during the AFI Film Festival on November 9, 2003. | Source: Getty Images

Ellen Pompeo at the world premiere of “House of Sand and Fog” during the AFI Film Festival on November 9, 2003. | Source: Getty Images

2002 – 2005

Ellen Pompeo at the premiere of "Catch Me If You Can" on December 16, 2002, in Los Angeles, California. | Source: Getty Images

Ellen Pompeo at the premiere of “Catch Me If You Can” on December 16, 2002, in Los Angeles, California. | Source: Getty Images

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Ellen Pompeo at the premiere of "House of Sand And Fog" on November 9, 2003, in Hollywood, California. | Source: Getty Images

Ellen Pompeo at the premiere of “House of Sand And Fog” on November 9, 2003, in Hollywood, California. | Source: Getty Images

Ellen Pompeo photographed for "Grey's Anatomy" as Meredith Grey on January 23, 2005. | Source: Getty Images

Ellen Pompeo photographed for “Grey’s Anatomy” as Meredith Grey on January 23, 2005. | Source: Getty Images

2006 – 2009

Ellen Pompeo during The Rape Treatment Center Annual Brunch Hosted by the Cast of "Grey's Anatomy" on October 8, 2006, in Beverly Hills, California. | Source: Getty Images

Ellen Pompeo during The Rape Treatment Center Annual Brunch Hosted by the Cast of “Grey’s Anatomy” on October 8, 2006, in Beverly Hills, California. | Source: Getty Images

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Ellen Pompeo on "Late Show with David Letterman" on February 16, 2009, in New York. | Source: Getty Images

Ellen Pompeo on “Late Show with David Letterman” on February 16, 2009, in New York. | Source: Getty Images

2010 –2014

Ellen Pompeo photographed on November 9, 2010. | Source: Getty Images

Ellen Pompeo photographed on November 9, 2010. | Source: Getty Images

Ellen Pompeo at Rihanna's First Annual Diamond Ball on December 11, 2014, in Beverly Hills, California. | Source: Getty Images

Ellen Pompeo at Rihanna’s First Annual Diamond Ball on December 11, 2014, in Beverly Hills, California. | Source: Getty Images

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2015 – 2020

Ellen Pompeo at the celebration of ABC's TGIT Line-up on September 26, 2015, in West Hollywood, California. | Source: Getty Images

Ellen Pompeo at the celebration of ABC’s TGIT Line-up on September 26, 2015, in West Hollywood, California. | Source: Getty Images

Ellen Pompeo at the 2019 Vanity Fair Oscar Party on February 24 in Beverly Hills, California. | Source: Getty Images

Ellen Pompeo at the 2019 Vanity Fair Oscar Party on February 24 in Beverly Hills, California. | Source: Getty Images

Ellen Pompeo at the 2020 E! People's Choice Awards on November 15. | Source: Getty Images

Ellen Pompeo at the 2020 E! People’s Choice Awards on November 15. | Source: Getty Images

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2021 – 2024

In recent years, Pompeo’s change in appearance garnered mixed reactions from social media users. On one hand, some people thought that the actress looks like a different person.

Ellen Pompeo photographed as Meredith Grey while filming "Grey's Anatomy" on November 10, 2021. | Source: Getty Images

Ellen Pompeo photographed as Meredith Grey while filming “Grey’s Anatomy” on November 10, 2021. | Source: Getty Images

“Completely other person 👎🏻,” one social media user commented. Another shared, “She looks like a completely different person! Sad.” A third person typed, “It both looks and doesn’t look like Ellen Pompeo. Something is different.”

“What happened to her jawline??” another person asked. “My god. What happened to her?!” another person typed. Others accused the actress of getting work done, with one social media user writing, “Nose [job] and jawline.”

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Ellen Pompeo at the 2022 People's Choice Awards on December 6 in Santa Monica, California. | Source: Getty Images

Ellen Pompeo at the 2022 People’s Choice Awards on December 6 in Santa Monica, California. | Source: Getty Images

However, other social media users praised the actress, with one person commenting, “She is gorgeous 🙌🙌🙌🙌.” Another person added, “Honestly, she looks pretty good for a 50 y/o.”

Ellen Pompeo at the 2024 Disney Upfront on May 14, 2024, in New York. | Source: Getty Images

Ellen Pompeo at the 2024 Disney Upfront on May 14, 2024, in New York. | Source: Getty Images

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Ellen Pompeo’s journey through Hollywood has been nothing short of remarkable. From her iconic portrayal of Meredith Grey to her candid discussions about aging in the public eye, she has continued to inspire fans with her grace and authenticity.

As she navigates the challenges of growing older in an industry that often prioritizes youth, Pompeo remains committed to embracing her true self and encouraging others to do the same.

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