Preston Crayford played a guest role in the soap opera Shortland Street in 2003, and made her feature film debut in the comedy Eagle vs Shark in 2007. In 2009, she played a major role in the TV series The Cult. In 2011, she played brothel madam Tilly Devine in the Australian crime drama Underbelly: Razor, a role for which she won the Graham Kennedy Award for Most Outstanding Newcomer at the 2012 Logie Awards.