19 of the Russian's 21 titles have been earned on hardcourt
A resurgent Medvedev claimed his initial championship for over two years with success over Corentin Moutet in the competition championship match.
The Russian, a former number one, has experienced a challenging period, achieving just a single victory at the big events and experiencing a setback at the New York tournament.
The player's inconsistency on the tennis tour - and issues with his serving in specific - resulted in him falling of the world's top 10 and ultimately parting ways with long-term trainer his previous coach.
Presently training with his coach and Rohan Goetzke, he has consistently improved in the last few weeks - culminating in a tightly fought three-set triumph over Frenchman Moutet.
It is his maiden championship following the Rome competition and initial on a hardcourt since that period of 2023.
Success also means the Russian has secured 21 championships at 21 distinct tournaments.
"This marks the first occasion I'm at a event with my children simultaneously, so to get a championship is especially meaningful," commented world number 14 Medvedev.
"This championship is in honour of my child my daughter, because the initial championship I won when my child Alisa was delivered was for her."
The athlete, the former major winner, had lost his past six title deciders, comprising in the German tournament earlier this year.
His retrieving approach and regular outbursts on court had caused commentators to wonder if his capacity to perform at the elite level was over.
However the player has made changes in recent weeks, making an effort to advance forward and perform assertively, backed up by an enhanced serving game.
The champion came back from a disadvantage in the opening set against the tricky Moutet, taking 4 of the final five games to go ahead.
Both players swapped service breaks in the following set before Moutet, attempting for his first tour victory, took control to push for a final set.
He defended four initial break points in a competitive final set before Medvedev won the break to 15 to serve for the match.
Fittingly, he secured the win with a rally at the front of the court, with Moutet incapable to manage a shot after a lengthy match.