Romanov was born in Las Vegas, Nevada. She first began modeling in Europe and was discovered at 15 by Elite Model Management founder, John Casablancas. Her first professional modeling job was in Europe, shooting fashion layouts for Italian and French Bazaar. She then moved to New York to pursue a professional model career, leaving her family in Las Vegas. She appeared in ELLE, Vanity Fair and French Vogue.
In 1993, Romanov decided to leave modeling in favour of acting. She landed her first role as Teri Spencer on Aaron Spelling's Models, Inc.. She went on to land guest starring roles in Homicide: Life on the Street, The Sentinel, Just Shoot Me! and Burke's Law. She starred on Angel for four seasons, playing Lilah Morgan from 2000–2003.
Romanov has also appeared in several films, including Spy Hard and Menno's Mind. She played Jacqueline Kennedy in the critically acclaimed Thirteen Days and appeared in The Final Cut alongside Robin Williams.

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