Can you put a medallion around the lamp chain in ceiling
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Yes, absolutely.
Here are some online tutorials for help:
https://www.thisoldhouse.com/how-to/how-to-install-ceiling-medallion
https://heatherednest.com/ceiling-medallions/
https://www.diynetwork.com/how-to/rooms-and-spaces/walls-and-ceilings/how-to-install-a-ceiling-medallion-above-a-light-fixture
I did this when my fan was not wired into the ceiling. I had a chain and wire running out to the wall socket. I had my brother use a hack saw to cut a u shaped hole at the edge of the medallion. My medallion was plastic painted to look like metal.
Yes its a very nice modification.