A rosette is a small, circular device that is presented with a medal. The rosettes are either worn on the medal to denote a higher rank, or for situations where wearing the medal is deemed inappropriate. Rosettes are issued in nations such as Belgium, France, Italy and Japan. Rosettes are also sometimes called bowknots, due to their shape. Moreover, a large rosette is sometimes pinned onto the ribbon which suspends a medal, usually the Officer (and sometimes Grand Officer)'s badge of certain Orders of Chivalry.