Nineteen of the Russian's 21 victories have been achieved on hardcourt
A revitalized Medvedev claimed his initial trophy for 882 days with a win over Corentin Moutet in the Almaty Open title decider.
Medvedev, a former world number one, has experienced a difficult period, achieving just one match at the Grand Slams and experiencing a meltdown at the New York tournament.
His unpredictability on the ATP Tour - and difficulties with his serving in particular - caused him exiting of the world's top 10 and eventually parting ways with long-term mentor his previous coach.
Now training with Thomas Johansson and Rohan Goetzke, the tennis star has gradually improved in the last few weeks - culminating in a hard-fought competitive victory over Frenchman Moutet.
This marks Medvedev's initial title since the Italian tournament and initial on a hard surface from spring of the previous year.
The win also means Medvedev has achieved twenty-one championships at 21 different tournaments.
"This marks the first occasion I'm at a tournament with my both daughters together, so to win a trophy is really nice," stated world number 14 the champion.
"This victory is in tribute of my second daughter Victoria, because the initial championship I won when my older daughter my daughter was born was for her."
The tennis star, the past champion, had lost his previous six title deciders, comprising in that event in the past months.
The player's retrieving approach and recurring emotional displays on the playing surface had prompted observers to wonder if his skill to play at the top level was concluded.
Yet the 29-year-old has implemented adjustments in the last few weeks, making an effort to approach the net and perform assertively, backed up by an better serving game.
Medvedev fought back from a disadvantage in the initial set against the challenging Frenchman, taking four of the final five games to gain the advantage.
The competitors traded service breaks in the second set before the Frenchman, attempting for his first tour title, took control to create a third set.
The opponent defended four initial break points in a close deciding set before the Russian broke to fifteen to close out the victory.
Appropriately, the winner secured the win with a rally at the front of the court, with the Frenchman failing to manage a return after two hours and 38 minutes.