19 of Medvedev's 21 titles have been won on hard courts
A comeback the Russian player claimed his maiden trophy for over two years with a win over Frenchman Moutet in the tournament final.
Medvedev, a former world number one, has experienced a difficult period, winning just a single victory at the major tournaments and experiencing a setback at the New York tournament.
The player's inconsistency on the professional circuit - and issues with his service game in specific - resulted in him falling of the world's top 10 and finally splitting with former coach his previous coach.
Presently working with Johansson and his other coach, Medvedev has gradually progressed in the past month - peaking in a tightly fought three-set victory over challenger Corentin Moutet.
It is Medvedev's maiden title following the Rome competition and initial on a hardcourt since March of that year.
Victory also indicates Medvedev has won 21 championships at twenty-one distinct competitions.
"For the first time I'm at a competition with my children simultaneously, so to win a championship is especially meaningful," commented ranked player Medvedev.
"This championship is in dedication of my child Victoria, because the maiden victory I achieved when my child her name was born was for her."
The tennis star, the former major winner, had lost his past six title deciders, comprising in the German tournament in the past months.
His retrieving play style and frequent reactions on the playing surface had caused commentators to question if his capacity to compete at the highest level was finished.
But the player has implemented adjustments in the last few weeks, striving to advance forward and perform assertively, supported by an improved serving game.
The champion came back from a break down in the initial set against the challenging Moutet, taking four of the last five exchanges to take the lead.
The pair swapped service breaks in the following set before the challenger, striving for his initial professional victory, gained dominance to push for a third set.
The opponent saved four initial break points in a competitive third set before the champion won the break to 15 to secure the win.
Appropriately, Medvedev clinched the win with a shot at the net, with Moutet failing to manage a shot after over two and a half hours.
