19 of the Russian's 21 titles have been earned on hardcourt
A comeback the Russian player won his initial trophy for nearly 30 months with success over Frenchman Moutet in the competition final.
The Russian, a ex- number one, has endured a difficult season, managing just one win at the Grand Slams and experiencing a difficult moment at the US Open.
Medvedev's inconsistency on the tennis tour - and difficulties with his serving in particular - resulted in him falling of the elite rankings and eventually splitting with former trainer Cervara.
Now training with Johansson and his other coach, he has gradually advanced in the past month - culminating in a closely contested 7-5 4-6 6-3 win over Frenchman Moutet.
It is his initial trophy since the Italian tournament and first on a hard court from that period of 2023.
The win also indicates he has achieved twenty-one titles at 21 different events.
"For the first time I have attended a tournament with my two daughters together, so to secure a title is really nice," commented ranked player the champion.
"This victory is in honour of my child Victoria, because the maiden victory I won when my first daughter her name was born was for her."
The athlete, the former major winner, had failed in his past six title deciders, featuring in the German tournament earlier this year.
Medvedev's defensive approach and recurring emotional displays on the playing surface had prompted observers to question if his capacity to compete at the top level was concluded.
However the athlete has implemented adjustments in the past month, attempting to advance forward and compete assertively, supported by an improved serve.
He came back from a deficit in the opening set against the tricky Moutet, taking 4 of the final five exchanges to go ahead.
The pair traded breaks in the second set before the challenger, bidding for his initial professional championship, seized the initiative to push for a final set.
He defended four early-game opportunities in a competitive final set before the Russian broke to that score to close out the victory.
Appropriately, the winner clinched the title with a shot at the net area, with Moutet failing to handle a shot after two hours and 38 minutes.
