19 of Medvedev's 21 victories have been earned on hardcourt
A comeback the Russian player claimed his first trophy for 882 days with victory over Corentin Moutet in the competition title decider.
Medvedev, a former number one, has experienced a challenging season, managing just one win at the Grand Slams and suffering a difficult moment at the American major.
Medvedev's inconsistency on the professional circuit - and struggles with his service game in especial - resulted in him exiting of the world's top 10 and ultimately parting ways with long-term mentor Cervara.
Presently training with Johansson and Rohan Goetzke, the tennis star has gradually progressed in the recent weeks - climaxing in a hard-fought 7-5 4-6 6-3 triumph over Frenchman Moutet.
It is Medvedev's maiden title after the Rome competition and maiden on a hard surface after spring of that year.
The win also means he has achieved twenty-one victories at twenty-one different tournaments.
"This marks the first occasion I am participating in a event with my both daughters simultaneously, so to secure a title is especially meaningful," stated world number 14 Daniil Medvedev.
"This title is in dedication of my younger daughter her name, because the initial championship I won when my child Alisa was born was for her."
The athlete, the past champion, had failed in his previous six championship matches, including in the German tournament in the past months.
His defensive approach and recurring emotional displays on the playing surface had caused observers to wonder if his capacity to compete at the top level was concluded.
But the player has altered his approach in recent weeks, making an effort to come to the net and perform aggressively, supported by an improved service.
He fought back from a deficit in the first set against the tricky opponent, taking 4 of the concluding five points to take the lead.
The pair traded break points in the middle set before Moutet, attempting for his initial tour title, gained dominance to create a final set.
He defended 4 early chances in a close third set before the champion broke to that score to close out the victory.
Suitably, the winner clinched the win with a point at the net, with the Frenchman unable to control a shot after over two and a half hours.