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Mirror Twins: All You Need to Know

Mirror Twins: All You Need to Know

Mirror Twins

Last updated on May 23rd, 2022 at 01:07 pm

Have you ever looked at a set of identical twins and were able to tell right away who was who? Maybe one has a freckle on their right cheek while the other has one on the left? Perhaps their hair parts are on opposite sides? You may have encountered mirror image twins! Here’s all you need to know about this fascinating phenomenon and how to find out if your twins are mirror twins!

In order to understand mirror twins, one must understand how twins form. The zygosity (genetic relationship) of twins depends on what happens upon fertilization. We all know the details of that part so let’s focus on the science. There are two main types of twins:

  • Dizygotic twins occur when two sperm fertilize two eggs, resulting in fraternal or in the case of sisters, sometimes called sororal twins. These twins are no more alike than a set of typical siblings.
  • Monozygotic twins occur when one sperm fertilizes one egg and the resulting embryo splits into two, forming two embryos

An ultrasound can determine which type of twins you are having but with same sex twins the only way to know with 100% certainty is a DNA test.

The timing of the split impacts a few things in a twin pregnancy, including whether the twins are monoamniotic, diamniotic, or conjoined. For monozygotic twins, the two newly formed embryos are always genetically identical. After the split they each will develop their own physical and neurological traits. Differences can be based on when the split occurred and what happens after this split, during their growth in the womb. 

Identical Twins, maybe mirror image twins in the womb
Identical twins can be diagnosed via ultrasound or DNA test

What are mirror twins?

Mirror twins are a sub-type of identical twins. Occurring in 25% of identical twins, it happens when one twin carries anatomical features, physical characteristics, and even sometimes personality traits that are the opposite of the other twin. 

Studies suggest that mirror image twins may occur when the egg splits later in development, typically 912 days after conception. When the split occurs this late, the genes that determine the left and right sides of the embryo are already active. Each twin takes one side, resulting in a mirror imaging effect. The twins are still identical but some of their features present opposite of one another. Only identical twins can be mirror twins, though not all identical twins are mirror twins.

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What do mirror twins look like?

Mirror image twinning can appear in a few different ways. It’s mostly in those little ways that make our bodies unique from each other. Though genetically identical, even identical twins are never exact carbon copies of each other. Physical differences always exist, but mirror twins are special in that their differences literally mirror each other.

In order to identify mirror image twins, families can look for physical features on opposing sides of the body of each twin. These anatomical differences can include: 

  • Birthmarks 
  • Freckles
  • Dimples
  • Hairline
  • Moles

Interestingly, not all of these opposing features will be identical themselves! Birthmarks may not be the same size or shape, but a similar mark with reverse placement on each twin may mean mirror image twinning. The shape of the eyes, ears, and nose may also be opposite. It may even make it slightly easier to tell your identical twins apart! Bonus!

For many, the first sign of mirror twinning is the direction of the whorl of hair on top of their babies’ heads. Later in life, this might look like cowlicks cropping up or natural parts falling on opposite sides of their heads.

identical twin boys lying head to head and smiling at a camera
All identical twins differ in looks and personality but mirror twins are the reverse of each other

How else are mirror image twins different?

Mirror twins may also differ in other less obvious physiological ways, known as functional differences:

  • Righ or left-handedness
  • Teeth erupting and falling out on opposite sides
  • Gestures or movements may be opposite
  • Opposing gaits
  • Vision disorders

Some studies suggest that mirror twins may even hold opposite personality traits. Psychological mirroring can affect everything from their social-emotional development and temperament to career interests, and possibly even sexual orientation. And then there’s medical mirroring which may even affect blood pressure and sleep patterns!

There is one physical feature that mirror twinning does not completely affect – fingerprints! Identical twins share DNA and blood type, but it’s our movements in the womb that create our fingerprints. As such, even identical twins do not have the same ones. That said, mirror twins can have similar prints in opposing patterns!

twin boys sitting next to each other with elbows on a table. 1 twin is eating a hamburger with french fries and the other is resting his face on his hands and scowling at the other.
Science suggests mirror image twins can even have personality differences opposite of each other

How do you diagnose mirror twins?

With the number of twins being born increasing every year, it is likely you may encounter or have a set of mirror twins yourself. Research suggests that 1 in 4 sets of identical twins are mirror image twins. That said, mirror image twinning is not an official medical diagnosis and as such, there is no test to identify the phenomenon. A DNA test can only determine whether or not your twins are identical.

The only way to determine if your twins are mirror twins is by giving them a good look over or having them look in a mirror together. Twin parents, take note of any physical features that are similar but opposite on their bodies. Start with the most obvious: moles, hair whorls and birthmarks. From there, you can observe and note any further differences such as handedness and personality differences.

Twiniversity memberships

Need some twin parent friends? Get the support you need with a Twiniversity Membership. Benefits include a monthly twin parent club meeting on Zoom, access to a private Facebook group just for twin parents, and a video library of twin parenting lessons. Visit to join today!

Are there any complications for these twins?

Most of the time, mirror twins are perfectly healthy, just with an extra cool twin side effect. That said, complications can occur.

Situs Inversus is a rare condition that causes the major internal organs of one twin to develop on the opposite side of their body. This condition is typically not a problem unless they require surgery, at which point physicians will use diagnostic imaging to determine the exact location of their organs.

identical twin girls smiling at a camera with one twin listening to the others heartbeat with a stethescope
Diagnostic tests can help determine if a mirror twin has the rare complication Situs Inversus

There are also some less serious medical conditions that appear to have a higher chance of occurrence with mirror image twins, including: 

  • Extra toes
  • Bone cysts
  • Cleft lip and cleft palate
  • Estropia (eye misalignment)

Aside from these uncommon complications, mirror image twins are no more at risk for issues than any other set of twins. Although they might have a harder time fooling their teachers with the old identical twin switcheroo!

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Do your twins mirror each other?

Have you ever suspected that your identical twinnies might be mirror twins? Maybe you’ve noticed that one of your twins has a mole on their right hip and the other on their left? Now that you know what to look for, get in front of a mirror and look for other similar but opposite traits! You may just have a set of mirror image twins!

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