Yiu entered the entertainment industry after winning the TVB8 Presentator Contest in 2002, subsequently signing a management and filming contract with TVB. From 2002 to 2004, Yiu hosted Mandarin-language television programmes for TVB8. Yiu's acting debut was in the 2003 teen drama Hearts of Fencing, portraying the nerdy girl Man Man. In 2005, Yiu earned critical praise as Chloe Cheng in Revolving Doors of Vengeance. She earned her first leading role in Safe Guards, starring opposite Steven Ma, in 2006. At the "2015 TVB Star Awards Malaysia", Elaine Yiu clinched "My Favourite TVB Actress in a Supporting Role" and "My Favourite TVB Drama Character" awards with her stellar acting as Vivian Cheung Wai-man (張慧芸) in "Raising the Bar"(四個女仔三個BAR). Elaine's red-hot winning streak continued two weeks later in Hong Kong when she snagged the coveted "Best Supporting Actress" honor at the "2015 TVB Anniversary Awards" with her character, "Imperial Consort Yim (炎貴妃)" in "Captain of Destiny" (張保仔).

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