19 of the Russian's 21 championships have been earned on hardcourt
A comeback Medvedev won his first championship for 882 days with success over Corentin Moutet in the competition championship match.
The Russian, a ex- number one, has had a challenging season, managing just a single victory at the Grand Slams and suffering a setback at the US Open.
Medvedev's varied form on the tennis tour - and struggles with his serve in particular - led to him exiting of the elite rankings and finally parting ways with former trainer his previous coach.
Presently working with Thomas Johansson and Rohan Goetzke, the tennis star has gradually advanced in the past month - climaxing in a tightly fought 7-5 4-6 6-3 win over Frenchman Corentin Moutet.
It is Medvedev's first championship since the Italian tournament and maiden on a hard court after March of the previous year.
Success also signifies he has won 21 championships at twenty-one distinct tournaments.
"For the first time I have attended a competition with my two daughters together, so to get a trophy is particularly special," stated world number 14 the champion.
"This victory is in honour of my child her name, because the first title I achieved when my child my daughter was born was for her."
Medvedev, the past champion, had failed in his previous six finals, including in that event previously this season.
The player's counter-punching approach and recurring emotional displays on court had led commentators to wonder if his ability to compete at the elite level was finished.
Yet the 29-year-old has altered his approach in the past month, attempting to come to the net and play positively, supported by an enhanced serve.
The champion came back from a disadvantage in the first set against the challenging opponent, taking 4 of the concluding five games to gain the advantage.
The pair swapped break points in the middle set before the challenger, bidding for his first ATP Tour title, gained dominance to force a decider.
Moutet defended 4 early break points in a tight final set before the Russian broke to fifteen to close out the victory.
Fittingly, the winner clinched the title with a shot at the net area, with his opponent incapable to handle a return after two hours and 38 minutes.
