19 of Medvedev's twenty-one titles have been achieved on hardcourt
A comeback the Russian player claimed his maiden title for over two years with victory over Frenchman Moutet in the competition title decider.
The Russian, a former world number one, has had a challenging season, achieving just a single victory at the big events and experiencing a difficult moment at the US Open.
Medvedev's inconsistency on the tennis tour - and struggles with his serve in specific - led to him dropping out of the top ten and finally splitting with former coach Cervara.
Now working with his coach and Rohan Goetzke, the tennis star has consistently improved in the past month - culminating in a closely contested three-set triumph over Frenchman Corentin Moutet.
This represents Medvedev's first championship following the Italian tournament and maiden on a hardcourt from March of the previous year.
Victory also indicates the Russian has won 21 championships at 21 distinct competitions.
"For the first time I'm at a event with my children simultaneously, so to win a trophy is especially meaningful," commented world number 14 Medvedev.
"This title is in dedication of my younger daughter my daughter, because the initial championship I achieved when my child Alisa was delivered was for her."
The tennis star, the former major winner, had failed in his previous six championship matches, comprising in that event in the past months.
The player's counter-punching play style and frequent reactions on the tennis court had caused some to question if his capacity to perform at the elite level was finished.
However the athlete has implemented adjustments in the last few weeks, making an effort to come to the net and play aggressively, reinforced by an improved service.
The champion fought back from a deficit in the initial set against the difficult opponent, securing 4 of the concluding five points to gain the advantage.
Both players traded service breaks in the middle set before Moutet, striving for his initial tour title, took control to create a decider.
He rescued four early chances in a competitive third set before the Russian secured a break to 15 to close out the victory.
Appropriately, the winner earned victory with a shot at the net area, with the Frenchman incapable to handle a volley after over two and a half hours.