*sigh* I had to lop off another chunk of cat again; this time she does look a little lopsided. It always seems to be in the same general area, on the left side of her neck, that the knots/mats form. She was flinching when I touched that spot; let's see whether removing the knot makes her more comfortable.
Fortunately Perrine likes the grooming brush enough (as long as I let her control how it's applied) that letting her rub against it was a sufficient treat to undo her annoyance at me for holding her down and trying to isolate the knot to snip off.
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http://emagale.blogspot.com/2007/02/stupidest-cat-ever.html
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The ends are blunt, so they don't cut skin, but they work a treat for dematting fussy cats.