Wow great question. It is going to be different for every person I am sure. I am a person who hand holds stones and does not use dops (except for rare occasion). I actually change the way I am holding depending where I am in the beveling.
I start with edge up face to wheel and bottom edge tilted out towards me. I get pretty precise edge bevel heights because I am watching the width of the bevel as I go around the cab setting the first step. This first is to set the heaviest bevel of the dome of the cab closest to the edge.
After the 1st step I change the angle and move the stone lower on the wheel so as I look down from above I can see how much of the first step I remove and how close far the 2nd step travels towards the center.
After this 2nd step of the "pyramid" I turn the top of the stone facing up (as you can see by the pictures "up" still has the edge higher than the top of the stone so it isn't truly "face up") and to the left so I can watch how wide and how close the next step goes across the 2nd step and advances to the center.
Now that being said I never hold the stone parallel with the ground, it is always tilted towards the wheel. My descriptions are describing more of how much of the top of the cab I see during these steps. I took a couple pictures of one hand with the cell phone and one on the cab to give examples. You will see the black marker on the edge of the side bevel of the stone. After roughing my dome I marker the edge before putting the bevel on the side of the stone as it gives me a visual reference as I have it on the 220 wheel setting the angle of the side bevel.
I think the biggest problem that leads to flat spots is not doing enough rocking motion across the top of the stone and as you are going over the bevel steps, feeling the hips as the stone rolls. Again this is hand held so with a dop, a whole other beast. As I rock the stone from one edge across the top and to the other edge I slow down the speed of the rocking the further I am from the center and this helps smooth those flat spot hips. As I rock the stone it is back in the orientation of the step 1 where I can't see it but feel it in my fingers. I repeat this same procedure on the 220. Then I can change to step 2 holding and rolling left to right and right to left as I rock across the dome and this is also on the 220.