19 of Medvedev's 21 titles have been earned on hard courts
A comeback the Russian player won his first trophy for nearly 30 months with victory over Corentin Moutet in the tournament final.
The athlete, a former top-ranked player, has endured a difficult year, managing just one match at the Grand Slams and suffering a meltdown at the US Open.
His unpredictability on the tennis tour - and struggles with his service game in specific - resulted in him exiting of the elite rankings and finally parting ways with long-term mentor Cervara.
Presently training with Johansson and his other coach, he has gradually improved in the recent weeks - climaxing in a tightly fought three-set win over challenger Corentin Moutet.
This marks his first championship following the Rome competition and initial on a hard court from that period of the previous year.
The win also indicates he has secured twenty-one championships at twenty-one various events.
"For the first time I am participating in a event with my both daughters simultaneously, so to win a trophy is particularly special," stated world number 14 the champion.
"This title is in honour of my child my daughter, because the maiden victory I won when my older daughter her name was born was for her."
Medvedev, the past champion, had lost his last six finals, comprising in that event previously this season.
His defensive approach and recurring reactions on the tennis court had prompted some to doubt if his skill to perform at the highest level was finished.
However the player has altered his approach in the last few weeks, making an effort to approach the net and compete assertively, backed up by an improved serve.
The champion recovered from a break down in the opening set against the difficult opponent, securing 4 of the concluding five points to take the lead.
The competitors swapped break points in the second set before Moutet, attempting for his first ATP Tour victory, took control to create a decider.
The opponent saved 4 early chances in a close third set before the champion broke to 15 to close out the victory.
Fittingly, Medvedev clinched the win with a point at the front of the court, with Moutet failing to manage a volley after a lengthy match.