Here's how it works...
First the drawing, so we all understand what we're talking about.
View attachment 338439
Remember, at rest water will flood the exhaust system and the level of the water in the y-pipe will be the same as the level outside the boat, regardless of tube or bellows. The level of that water is what's important.
The blue waterline. This is a good level. The distance between the waterline and the top of the elbow (pink line) is more than the required 33cm.
But the red waterline, not so good. It's likely the height difference is less than 33cm, so a riser/s should be installed between the elbow and the manifold, to increase the height. Risers are available in 75mm and 150mm, and if you needed more than 150mm, then you can stack risers to get the required height.
Hope this helps,
Chris.....