Nanometer-scale intermembrane contact areas (CAs) formed between single small unilamellar lipid vesicles (SUVs) and planar supported lipid bilayers are quantified by measuring fluorescence resonance energy transfer (FRET) between a homogenous layer of donor fluorophores labeling the supported bilayer and acceptor fluorophores labeling the SUVs. The smallest CAs detected in our setup between biotinylated SUVs and dense monolayers of streptavidin were Ϸ20 nm in radius. Deformation of SUVs is revealed by comparing the quenching of the donors to calculations of FRET between a perfectly spherical shell and a flat surface containing complementary fluorophores. These results confirmed the theoretical prediction that the degree of deformation scales with the SUV diameter. The size of the CA can be controlled experimentally by conjugating polyethylene glycol polymers to the SUV or the surface and thereby modulating the interfacial energy of adhesion. In this manner, we could achieve secure immobilization of SUVs under conditions of minimal deformation. Finally, we demonstrate that kinetic measurements of CA, at constant adhesion, can be used to record in real-time quantitative changes in the bilayer tension of a nano-scale lipid membrane system. adhesion ͉ membrane deformation ͉ small unilamellar lipid vesicles ͉ membrane tension I ntimate contact between 2 apposing lipid bilayer membranes is an essential prerequisite step for many biological processes of critical importance. Architectures like the neurosynaptic junction and the immune synapse that mediate cell-cell signaling, incorporate regions of tight intermembrane contact that span length scales of Ϸ0.5-10 m (1, 2). Transient contact areas (CAs) of smaller dimensions (Ͻ100 nm) are present in the docking step that precedes exocytosis of vesicles during membrane trafficking or neurotransmitter release (3, 4).Several studies have examined intermembrane junctions by using reconstituted model systems on solid supports (5, 6). Frequently, the junctions were formed by giant unilamellar vesicles (GUVs) that adhered on supported bilayers through specific or nonspecific interactions (7-9). The formation of CAs between adjacent membranes has been studied by a variety of optical techniques like FRET, fluorescence or reflection interference contrast microscopy that resolved topographical displacements with subnanometer accuracy but had a lateral resolution limited by optical diffraction (5, 6). These experiments provided a wealth of information on the parameters affecting local adhesion and structural rearrangements in the plane in such studies. The limited lateral resolution was not a significant constraint because the dimensions of the junctions were typically several tens of square microns. More recently, significant attention has been put on nano-scale systems that reconstitute membrane docking and fusion between single SUVs (10-12) or viruses (13, 14) and membranes. The CAs formed in such systems are important for characterizing the nature and potency of the adhesion-mediat...