Nineteen of Medvedev's 21 championships have been earned on hard courts
A resurgent Medvedev claimed his maiden title for 882 days with a win over Corentin Moutet in the Almaty Open final.
Medvedev, a ex- top-ranked player, has had a torrid period, managing just a single victory at the major tournaments and undergoing a meltdown at the US Open.
His inconsistency on the tennis tour - and struggles with his serve in especial - led to him falling of the world's top 10 and ultimately splitting with long-time coach Gilles Cervara.
Presently training with Thomas Johansson and Rohan Goetzke, Medvedev has gradually improved in the past month - culminating in a closely contested competitive victory over opponent Corentin Moutet.
This represents his first title following the Italian tournament and initial on a hard surface from that period of that year.
The win also means the Russian has secured 21 titles at 21 various tournaments.
"It's the first time I am participating in a competition with my children at once, so to win a trophy is particularly special," commented tennis professional Medvedev.
"This championship is in tribute of my child my daughter, because the initial championship I achieved when my older daughter my daughter was born was for her."
Medvedev, the 2021 US Open champion, had failed in his last six championship matches, featuring in Halle previously this season.
The player's counter-punching approach and recurring emotional displays on the tennis court had prompted observers to wonder if his ability to perform at the highest level was over.
But the 29-year-old has implemented adjustments in recent weeks, striving to advance forward and play positively, supported by an improved service.
He recovered from a break down in the initial set against the tricky Moutet, securing four of the concluding five points to take the lead.
The pair traded breaks in the middle set before the Frenchman, bidding for his first tour championship, seized the initiative to force a final set.
Moutet saved four early break points in a close final set before the Russian broke to that score to close out the victory.
Fittingly, the winner clinched the title with a rally at the front of the court, with the Frenchman unable to control a shot after over two and a half hours.