Systems and methods for extracting hair follicle from underneath an external surface of the skin are provided. The systems may include a first member and a counter pressure device. The first member may define a first bore and may have a longitudinal axis. A portion of the first member may be configured to be moved below an external surface of a skin. The first member may be configured to translate at least in a first direction along the longitudinal axis through a tissue and rotate about the longitudinal axis. The counter pressure device may be configured to interface with at least the external surface of the skin such that the tissue is disposed between the first member and the counter pressure device. The translation and rotation of the first member may result in cutting at least a portion of the tissue.
