Nineteen of the Russian's twenty-one championships have been won on hard surfaces
A revitalized the Russian player claimed his initial trophy for 882 days with success over Corentin Moutet in the tournament title decider.
Medvedev, a ex- number one, has had a torrid year, winning just one win at the big events and experiencing a meltdown at the American major.
His unpredictability on the tennis tour - and issues with his serve in specific - caused him falling of the elite rankings and finally separating with long-time coach his previous coach.
Presently training with Johansson and his other coach, he has gradually progressed in the recent weeks - climaxing in a hard-fought three-set triumph over Frenchman Corentin Moutet.
It is Medvedev's maiden championship after the Italian tournament and maiden on a hardcourt from March of the previous year.
The win also indicates he has achieved 21 victories at twenty-one different competitions.
"This marks the first occasion I am participating in a event with my two daughters together, so to secure a trophy is really nice," commented world number 14 the champion.
"This victory is in honour of my younger daughter her name, because the first title I won when my first daughter my daughter was delivered was for her."
The athlete, the 2021 US Open champion, had failed in his previous six finals, including in that event earlier this year.
His defensive strategy and recurring outbursts on court had prompted commentators to doubt if his skill to compete at the elite level was over.
Yet the player has made changes in recent weeks, making an effort to come to the net and compete aggressively, reinforced by an enhanced serving game.
The champion came back from a break down in the first set against the difficult Frenchman, securing 4 of the final five exchanges to take the lead.
Both players swapped breaks in the second set before the challenger, attempting for his initial tour title, took control to force a third set.
He saved 4 early opportunities in a tight third set before the champion secured a break to 15 to close out the victory.
Suitably, Medvedev earned victory with a rally at the net area, with the Frenchman unable to handle a shot after a lengthy match.