Grape pomace is a major byproduct of winemaking and a rich source of bioactive anthocyanins with potential functional value. This study aimed to optimize anthocyanin extraction from Tannat grape pomace and evaluate its antioxidant and anti-aging activities. Ultrasonic-assisted extraction combined with a Box–Behnken design identified optimal conditions of 51.27 °C, 53.46% ethanol, 20.10 min ultrasonication, and a 1:24.05 solid-to-liquid ratio, yielding 186.21 ± 1.03 mg/100 g (R² = 0.9798, p < 0.0001). Tannat Grape Pomace Anthocyanins showed strong antioxidant capacity, with 2,2-Diphenyl-1-picrylhydrazyl scavenging of 89.44% ± 0.87% at 0.2 mg/mL (IC₅₀ = 0.09 mg/mL) and 2,2′-Azino-bis (3-ethylbenzothiazoline-6-sulfonic acid) scavenging of 95.83% ± 0.54% at 0.75 mg/mL (IC₅₀ = 0.26 mg/mL). In Caenorhabditis elegans, TGPA extended lifespan, improved motility, and increased heat and oxidative stress resistance without reducing reproductive capacity. Lifespan is a key indicator of aging. This study holds significant implications for advancing our understanding of the mechanisms underlying lifespan regulation, the connection between aging and disease, as well as the development of anti-aging therapies for humans. In conclusion, these findings indicate that Tannat Grape Pomace Anthocyanins possess promising antioxidant and anti-aging potential and support the sustainable, high-value utilization of grape pomace. This approach directly aligns with the core principles of sustainable agriculture by transforming an agricultural byproduct into a valuable resource.