The scientific community has explored new packaging materials owing to environmental challenges and pollution from plastic waste. Bacterial cellulose (BC), produced by bacteria like Gluconacetobacter xylinus, shows high potential for food preservation owing to its exceptional mechanical strength, high crystallinity, and effective barrier properties against gases and moisture, making it a promising alternative to conventional plastics. This review highlights recent advances in BC production, particularly agro-industrial residues, which reduce costs and enhance environmental sustainability. Incorporating antimicrobial agents into BC matrices has also led to active packaging solutions that extend food shelf-life and improve safety. A bibliometric analysis reveals a significant increase in research on BC over the last decade, reflecting growing global interest. Key research themes include the development of BC-based composites and the exploration of their antimicrobial properties. Critical areas for future research include improving BC production’s scalability and economic viability and the integration of BC with other biopolymers. These developments emphasize BC’s potential as a sustainable packaging material and its role in the circular economy through waste valorization.