If you are asking if twins with near identical DNA can look different then the answer is yes. When talking about genetics there are two factors.
Phenotype: The DNA in all of it's actual pairs and combinations. That is what you say was identical when the doctor checked them.
Genotype: This is the actual expression of the genes or the way that they appear. Which you are saying is very different.
For simplicity, we can use a common example like brown eyes and blue eyes. Brown eyes are a dominant trait over blue eyes. I could go into heterozygous and homozygous genes, but to keep it simple, lets just say that both parents have brown eyes (genotype), but in their DNA make up (phenotype) they have a recessive trait for blue eyes.
B = Brown eyes (dominant trait)
b = Blue eyes (recessive trait)
Bb (mom) + Bb (dad) = BB Bb Bb bb are the possible combinations meaning that they have a 75% chance of having a child with brown eyes and 25% chance of having a child with blue eye.
This is a very simplistic example, but you can see what I mean. Even if their DNA looks very similar even identical, the possibility of those traits being expressed differently is there.


