19 of the Russian's 21 championships have been earned on hard courts
A revitalized Medvedev secured his maiden championship for 882 days with success over Corentin Moutet in the tournament final.
The Russian, a former number one, has had a torrid year, winning just one match at the major tournaments and undergoing a setback at the New York tournament.
His varied form on the ATP Tour - and issues with his serve in particular - led to him dropping out of the elite rankings and eventually splitting with former mentor his previous coach.
Currently working with Johansson and his other coach, he has steadily advanced in the past month - climaxing in a hard-fought competitive victory over opponent Corentin Moutet.
It is Medvedev's maiden title after the Italian tournament and initial on a hardcourt from that period of 2023.
Victory also signifies he has secured 21 victories at 21 various competitions.
"This marks the first occasion I am participating in a competition with my two daughters at once, so to get a trophy is really nice," stated tennis professional Medvedev.
"This victory is in honour of my younger daughter my daughter, because the initial championship I won when my child my daughter was born was for her."
Medvedev, the 2021 US Open champion, had been defeated in his past six title deciders, comprising in that event earlier this year.
Medvedev's defensive play style and frequent reactions on court had led some to doubt if his capacity to play at the top level was finished.
However the athlete has altered his approach in recent weeks, striving to come to the net and play aggressively, backed up by an better serving game.
He recovered from a disadvantage in the opening set against the difficult Frenchman, securing four of the last five exchanges to gain the advantage.
The pair exchanged break points in the following set before Moutet, striving for his initial professional victory, took control to push for a decider.
Moutet defended 4 early-game break points in a close deciding set before the Russian secured a break to that score to secure the win.
Suitably, the winner clinched victory with a point at the front of the court, with the Frenchman failing to control a shot after two hours and 38 minutes.
