Nineteen of the Russian's twenty-one victories have been achieved on hard courts
A comeback the Russian player won his maiden championship for 882 days with a win over Corentin Moutet in the tournament final.
The athlete, a ex- number one, has experienced a torrid season, achieving just a single victory at the Grand Slams and experiencing a meltdown at the American major.
The player's unpredictability on the tennis tour - and issues with his service game in specific - led to him dropping out of the top ten and finally parting ways with long-term mentor Gilles Cervara.
Presently working with Johansson and his other coach, Medvedev has consistently improved in the recent weeks - climaxing in a hard-fought three-set victory over opponent Moutet.
It is his initial title following the Rome competition and initial on a hardcourt since that period of the previous year.
The win also means Medvedev has won twenty-one titles at 21 different competitions.
"This marks the first occasion I'm at a tournament with my two daughters simultaneously, so to secure a championship is especially meaningful," said world number 14 the champion.
"This victory is in dedication of my second daughter her name, because the initial championship I got when my older daughter my daughter was born was for her."
The tennis star, the former major winner, had lost his past six championship matches, featuring in the German tournament previously this season.
His defensive play style and frequent outbursts on the playing surface had prompted commentators to question if his capacity to play at the top level was over.
Yet the 29-year-old has altered his approach in recent weeks, making an effort to advance forward and perform positively, backed up by an enhanced service.
He fought back from a disadvantage in the initial set against the difficult Frenchman, winning four of the last five games to gain the advantage.
The competitors swapped break points in the middle set before the challenger, attempting for his first ATP Tour championship, seized the initiative to create a third set.
The opponent saved 4 early-game break points in a close final set before the champion broke to 15 to serve for the match.
Appropriately, the winner earned the win with a rally at the front of the court, with the Frenchman unable to control a return after a lengthy match.
