My instructor says he'll often add a few minutes to his last deco stop, and I've seen a few people on these forums mention that they do a similar thing.
It doesn't make a lot of sense to me, when I hear that in my brain I hear "I don't think my deco plan / GFHi is conservative enough so I'm going to add extra deco on top of it". Why not just decrease the GFHi instead of arbitrarily adding a few minutes on the end (Note: I'm not talking about doing the slow ascent from last stop to surface, I'm talking specifically about adding extra time to the last stop before starting the ascent to surface).
I will add time to the stop (if I'm not too cold) because I feel better if I do. It is more of a "it works for me" kind of thing...
To your question, there's some minor changes in the profile depending on your GF-hi, that keep you lower for longer. The way I like to do things is to run a 50/80 profile, but stick around my 10 foot stop until my surfGF is 70, then I do 1 foot per minute ascent (part for conservatism, part for just keeping my buoyancy dialed in) which will put me at the surface with a surfGF of about 63.
Ultimately, I will surface with a 80 if I have to. It just works out to be a little faster if I hit the last stop with a 50/80 profile.
For example this is 50/63 profile for 150' on air with nitrox 50 (it's just what I had in multideco, not a recommendation):
Dec to 150ft (5) Air 30ft/min descent.
Level 150ft 25:00 (30) Air 1.11 ppO2, 145ft ead
Asc to 70ft (32) Air -30ft/min ascent.
Stop at 70ft 3:20 (36) Nitrox 50 1.45 ppO2, 28ft ead
Stop at 60ft 1:00 (37) Nitrox 50 1.31 ppO2, 22ft ead
Stop at 50ft 1:00 (38) Nitrox 50 1.16 ppO2, 16ft ead
Stop at 40ft 4:00 (42) Nitrox 50 1.01 ppO2, 9ft ead
Stop at 30ft 7:00 (49) Nitrox 50 0.86 ppO2, 3ft ead
Stop at 20ft 15:00 (64) Nitrox 50 0.72 ppO2, 0ft ead
Stop at 10ft 31:00 (95) Nitrox 50 0.57 ppO2, 0ft ead
Surface (105) Nitrox 50 -1ft/min ascent.
Here's one at 50/80:
Dec to 150ft (5) Air 30ft/min descent.
Level 150ft 25:00 (30) Air 1.11 ppO2, 145ft ead
Asc to 70ft (32) Air -30ft/min ascent.
Stop at 70ft 3:20 (36) Nitrox 50 1.45 ppO2, 28ft ead
Stop at 60ft 1:00 (37) Nitrox 50 1.31 ppO2, 22ft ead
Stop at 50ft 1:00 (38) Nitrox 50 1.16 ppO2, 16ft ead
Stop at 40ft 2:00 (40) Nitrox 50 1.01 ppO2, 9ft ead
Stop at 30ft 5:00 (45) Nitrox 50 0.86 ppO2, 3ft ead
Stop at 20ft 12:00 (57) Nitrox 50 0.72 ppO2, 0ft ead
Stop at 10ft 23:00 (80) Nitrox 50 0.57 ppO2, 0ft ead
Surface (90) Nitrox 50 -1ft/min ascent.
The 40, 30, and 20-foot stops on the 50/63 profile are a little longer, and I don't really want to do that... I'd rather get up to the last stop with the 50/80 plan then assess how I'm feeling. I know that I feel better if I'm getting out of the water under a 70.
I also do really slow ascents on recreational dives and like to do 5-minute safety stops, again, because that's what works for me.