Let denote the standard metric on and let denote the corresponding Paneitz operator. In this work, we study the fourth order elliptic problem with exponential nonlinearity
on . Here is a prescribed smooth function on which is assumed to be a perturbation of a constant. We prove existence results to the above problem under assumptions only on the “shape” of near its critical points. These are more general than the non-degeneracy conditions assumed so far. We also show local uniqueness and exact multiplicity results for this problem. The main tool used is the Lyapunov-Schmidt reduction.