Sizing 
      is based on the Golden Rule called PHi
      
        
      This is the ratio calculation PHi (1.618)   
      
        
      
        Here is a 
      simple calculation to consider 
      
        1- (.618) = 
      (.382)  ie 38.2% 
      
        This keeps 
      within the Golden Rule of Phi
      
       
      
        18" medallion 
      x 1.38 = a 25 inch medallion 
      
         
      
      No rules rule so 
      select 29", 25" or what ever matches your design. Always remember that 
      when you view the medallion mounted on the ceiling it will appear much 
      smaller from your perspective at a lower level.  By selecting one that 
      uses the  golden rule calculation, it will appear to be the right size 
      with the correct visual distortion