You can capture a photo and video using the built-in camera on your iPhone and save it from apps to your device. If you want to download photos from iPhone to Mac, then first connect your iPhone to your computer using the USB cable. You can import photos from your iPhone to Mac using iPhoto, Image Capture and much more. After importing your photos to Mac, it will ask you if you want to delete the original photos from your Camera Roll or not. You can choose either 'Delete Photos' or 'Keep Photos' option. If you delete photos after you import them, then you can reduce the size of your camera roll and improve backup.
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