Nineteen of Medvedev's 21 victories have been earned on hardcourt
A resurgent Medvedev secured his initial championship for 882 days with victory over Corentin Moutet in the Almaty Open final.
The athlete, a ex- top-ranked player, has endured a torrid season, managing just one win at the big events and experiencing a difficult moment at the American major.
Medvedev's varied form on the tennis tour - and struggles with his service game in especial - led to him falling of the elite rankings and eventually parting ways with long-term mentor his previous coach.
Presently training with Johansson and Rohan Goetzke, he has consistently advanced in the last few weeks - peaking in a tightly fought competitive victory over opponent Moutet.
This represents Medvedev's initial title since the Italian tournament and maiden on a hard court from March of that year.
Success also means the Russian has achieved twenty-one victories at 21 distinct tournaments.
"This marks the first occasion I have attended a tournament with my two daughters together, so to secure a championship is really nice," stated ranked player the champion.
"This title is in tribute of my younger daughter my daughter, because the first title I achieved when my older daughter Alisa was delivered was for her."
Medvedev, the past champion, had lost his previous six title deciders, comprising in the German tournament previously this season.
His counter-punching strategy and regular emotional displays on the tennis court had caused observers to question if his ability to compete at the top level was finished.
Yet the player has made changes in recent weeks, making an effort to come to the net and perform assertively, supported by an better service.
The champion recovered from a disadvantage in the initial set against the difficult opponent, winning four of the last five exchanges to go ahead.
The pair traded service breaks in the middle set before Moutet, attempting for his first professional championship, seized the initiative to force a decider.
He defended four early chances in a tight third set before Medvedev secured a break to that score to close out the victory.
Suitably, Medvedev earned the title with a shot at the net, with his opponent failing to control a shot after two hours and 38 minutes.