Abstract We present a novel dehomogenization approach for the efficient design of high-resolution load-bearing structures. The proposed approach builds upon a streamline-based parametrization of the design domain, using a set of space-filling and evenly spaced streamlines in the two mutually orthogonal direction fields that are obtained from homogenization-based topology optimization. Streamlines in these fields are converted into a graph, which is then used to construct a quad-dominant mesh whose edges follow the direction fields. In addition, the edge width is adjusted according to the density and anisotropy of the optimized orthotropic cells. In a number of numerical examples, we demonstrate the mechanical performance and regular appearance of the resulting structural designs and compare them with those from classic and contemporary approaches.