19 of the Russian's 21 titles have been earned on hardcourt
A revitalized the Russian player secured his maiden championship for 882 days with a win over Frenchman Moutet in the Almaty Open title decider.
The athlete, a former top-ranked player, has endured a difficult year, managing just one win at the big events and undergoing a setback at the New York tournament.
His inconsistency on the ATP Tour - and issues with his serve in especial - led to him dropping out of the top ten and finally separating with long-time coach Cervara.
Currently training with Johansson and his other coach, Medvedev has gradually progressed in the recent weeks - peaking in a hard-fought competitive victory over Frenchman Corentin Moutet.
This marks the player's initial championship after the Rome competition and first on a hard surface from March of that year.
The win also indicates Medvedev has achieved 21 victories at 21 distinct competitions.
"It's the first time I'm at a tournament with my two daughters together, so to win a championship is especially meaningful," commented ranked player the champion.
"This championship is in honour of my second daughter Victoria, because the maiden victory I achieved when my first daughter her name was born was for her."
Medvedev, the past champion, had been defeated in his past six title deciders, featuring in Halle in the past months.
His retrieving play style and regular reactions on court had prompted commentators to wonder if his skill to compete at the highest level was finished.
Yet the athlete has implemented adjustments in recent weeks, striving to come to the net and perform aggressively, reinforced by an better serve.
He recovered from a disadvantage in the opening set against the difficult Frenchman, securing 4 of the final five exchanges to take the lead.
Both players swapped breaks in the following set before Moutet, attempting for his maiden professional championship, took control to push for a decider.
The opponent saved four initial opportunities in a close third set before Medvedev won the break to 15 to serve for the match.
Suitably, Medvedev earned the title with a point at the front of the court, with his opponent failing to manage a return after over two and a half hours.