You need to make a list of what aspects draw you to each specialty. While there is overlap in regards of facial plastics and recon, craniofacial, maxillofacial trauma that is where it basically ends. Most people who are drawn to both specialties are usually interested d/t the above forementioned list so you should compare and contrast the other areas of expertise in both specialties, i.e. do you like otology, sinus, airway more or do you prefer cosmetics, hand surgery, breast recon, body contouring, lower extremity free flaps, decub ulcers etc. This list is obviously very basic and your list should be more comprehensive, but I am sure you get the point. In addition, you should consider the type of patients you will encounter in the private sector if considering private practice. In general, the Plastic Surgery patients can be more demanding and high maintainence than the general ENT patient. Residency training should also be considered since ENT usually a 5 year program with a pseudo gsurg intern year while Plastics is a 6 year program with 3 years of general surgery. I would suggest doing a sub I in each of the specialties to decide which you area better suits your interests and career goals.