Nineteen of the Russian's 21 titles have been earned on hard surfaces
A comeback the Russian player won his maiden championship for 882 days with victory over Corentin Moutet in the tournament final.
The athlete, a ex- top-ranked player, has had a challenging season, managing just one win at the big events and suffering a setback at the US Open.
His varied form on the professional circuit - and issues with his serving in specific - caused him exiting of the elite rankings and ultimately separating with long-time mentor Cervara.
Currently working with Johansson and Rohan Goetzke, he has gradually progressed in the recent weeks - culminating in a closely contested 7-5 4-6 6-3 triumph over Frenchman Moutet.
This represents his maiden title since the Rome competition and initial on a hard court from spring of that year.
Success also signifies Medvedev has won 21 championships at twenty-one distinct events.
"For the first time I am participating in a competition with my both daughters at once, so to win a title is really nice," stated ranked player the champion.
"This title is in honour of my younger daughter Victoria, because the first title I got when my child my daughter was born was for her."
The athlete, the past champion, had been defeated in his past six title deciders, including in that event earlier this year.
His counter-punching approach and recurring outbursts on the tennis court had led some to doubt if his ability to play at the top level was finished.
However the athlete has altered his approach in the past month, attempting to advance forward and perform aggressively, backed up by an better service.
He came back from a break down in the initial set against the tricky Frenchman, taking 4 of the last five exchanges to go ahead.
The competitors exchanged break points in the following set before Moutet, bidding for his maiden professional victory, took control to force a decider.
Moutet rescued 4 initial opportunities in a tight deciding set before Medvedev secured a break to fifteen to serve for the match.
Suitably, the winner secured the win with a point at the net area, with his opponent unable to control a shot after a lengthy match.
