Nineteen of Medvedev's twenty-one championships have been achieved on hard surfaces
A comeback Medvedev claimed his maiden championship for 882 days with victory over Corentin Moutet in the Almaty Open title decider.
The athlete, a former world number one, has experienced a torrid season, achieving just one match at the big events and suffering a setback at the US Open.
The player's inconsistency on the ATP Tour - and issues with his serve in specific - led to him exiting of the elite rankings and finally splitting with former coach Gilles Cervara.
Currently working with Johansson and Rohan Goetzke, the tennis star has gradually advanced in the last few weeks - peaking in a tightly fought 7-5 4-6 6-3 triumph over challenger Moutet.
This marks the player's first title following the 2023 Rome Masters and maiden on a hard court since that period of 2023.
Victory also signifies the Russian has secured twenty-one victories at 21 various competitions.
"It's the first time I am participating in a competition with my both daughters together, so to win a title is especially meaningful," said world number 14 Medvedev.
"This championship is in honour of my child Victoria, because the first title I got when my child my daughter was born was for her."
The athlete, the former major winner, had failed in his last six title deciders, including in that event earlier this year.
Medvedev's defensive approach and frequent emotional displays on court had caused observers to doubt if his capacity to perform at the elite level was over.
However the player has made changes in the last few weeks, attempting to come to the net and compete aggressively, reinforced by an enhanced serving game.
He fought back from a break down in the first set against the tricky Moutet, taking 4 of the last five points to go ahead.
The competitors traded break points in the middle set before Moutet, attempting for his maiden ATP Tour title, took control to force a decider.
Moutet rescued 4 early-game chances in a close third set before Medvedev won the break to fifteen to secure the win.
Appropriately, Medvedev earned the win with a rally at the net, with Moutet incapable to handle a return after two hours and 38 minutes.