Nineteen of the Russian's 21 titles have been achieved on hardcourt
A resurgent the Russian player won his first title for 882 days with a win over Corentin Moutet in the Almaty Open championship match.
Medvedev, a former number one, has endured a difficult season, winning just a single victory at the Grand Slams and experiencing a meltdown at the US Open.
The player's varied form on the ATP Tour - and struggles with his serve in especial - resulted in him falling of the elite rankings and finally parting ways with long-term trainer his previous coach.
Now collaborating with his coach and his other coach, the tennis star has gradually advanced in the past month - climaxing in a hard-fought 7-5 4-6 6-3 win over challenger Moutet.
It is Medvedev's maiden trophy after the Italian tournament and maiden on a hardcourt since that period of that year.
Success also indicates the Russian has secured 21 victories at twenty-one different tournaments.
"For the first time I have attended a competition with my both daughters at once, so to get a trophy is particularly special," stated tennis professional Medvedev.
"This championship is in honour of my younger daughter Victoria, because the maiden victory I won when my child her name was born was for her."
The tennis star, the former major winner, had lost his previous six finals, comprising in the German tournament previously this season.
Medvedev's counter-punching approach and regular reactions on the tennis court had prompted some to question if his capacity to perform at the highest level was finished.
However the 29-year-old has made changes in the last few weeks, attempting to approach the net and perform positively, reinforced by an improved service.
The champion recovered from a disadvantage in the first set against the tricky Moutet, taking four of the last five games to go ahead.
The competitors swapped service breaks in the following set before the challenger, striving for his first ATP Tour championship, gained dominance to create a final set.
He rescued four early-game opportunities in a tight third set before the Russian broke to that score to secure the win.
Appropriately, Medvedev earned victory with a shot at the net area, with the Frenchman incapable to handle a return after a lengthy match.