Nineteen of the Russian's twenty-one titles have been achieved on hard surfaces
A comeback Medvedev secured his first title for 882 days with a win over Corentin Moutet in the competition championship match.
The athlete, a former top-ranked player, has experienced a difficult period, managing just one match at the Grand Slams and experiencing a meltdown at the US Open.
The player's varied form on the professional circuit - and difficulties with his serving in specific - caused him falling of the elite rankings and ultimately splitting with long-time trainer his previous coach.
Now training with his coach and his other coach, Medvedev has steadily improved in the past month - peaking in a hard-fought three-set victory over challenger Moutet.
This represents the player's maiden title since the Italian tournament and initial on a hardcourt since that period of the previous year.
Victory also means the Russian has won twenty-one victories at 21 various competitions.
"It's the first time I have attended a competition with my children together, so to get a title is particularly special," said world number 14 the champion.
"This victory is in tribute of my second daughter my daughter, because the initial championship I won when my older daughter her name was born was for her."
Medvedev, the past champion, had lost his previous six title deciders, comprising in that event previously this season.
The player's defensive strategy and regular reactions on court had caused some to wonder if his capacity to compete at the elite level was finished.
Yet the 29-year-old has made changes in the last few weeks, attempting to approach the net and play aggressively, supported by an improved serving game.
The champion fought back from a break down in the opening set against the difficult Moutet, winning four of the concluding five points to go ahead.
The competitors swapped breaks in the following set before the Frenchman, attempting for his maiden ATP Tour championship, gained dominance to push for a decider.
Moutet rescued four early-game opportunities in a close final set before Medvedev won the break to 15 to close out the victory.
Suitably, the winner secured the title with a rally at the net, with his opponent unable to handle a return after two hours and 38 minutes.
